REBECCA J GROEN (NPI# 1073070009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073070009 |
| Entity Type | Individual |
| Full Name | REBECCA J GROEN |
| Credential | FNP |
| Practice Address |
3988 W State Road 10 Wheatfield IN 46392-9251 |
| Mailing Address |
2022 Kelle Dr Chesterton IN 46304-8708 |
| Practice Telephone | 2199873581 |
| Practice Fax Number | 2199877137 |
| Mailing Telephone | 2193643616 |
| Mailing Fax Number | 2193643610 |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2020-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71008790A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 650 Dickinson Rd, Chesterton, IN 463043387 | 2199267755 | 2199291885 |
| 3630 Willowcreek Rd, Portage, IN 463685075 | 2193643900 | 2193643959 |
| 809 Laporte Ave Ste B, Valparaiso, IN 463835801 | 2192634977 | 2192634979 |
| Street Address |
3988 W STATE ROAD 10 |
| City | WHEATFIELD |
| State | IN |
| Zip Code | 46392-9251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265467476 | David Vanderlugt | Family Medicine | 3988 W State Road 10, Wheatfield, IN 46392-9251 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427439850 | Tiffany Conley | Specialist/Technologist | 1424 E 1275 N, Wheatfield, IN 46392 | 2015-06-11 |
| 1619366622 | Jessica Jean Deboer | Counselor | 12501 North State Road 49, Wheatfield, IN 46392 | 2015-01-14 |
| 1851570261 | Franklin-mccallister | Home Health | 25 S Pearl St, Wheatfield, IN 46392 | 2007-11-01 |
| 1487779138 | Kankakee Vallley School Corporation | Local Education Agency (LEA) | 12021 North 550 West, Wheatfield, IN 46392 | 2007-03-20 |
| 1891704342 | Wheatfield Ambulance Service | Ambulance | 490 E Grove St, Wheatfield, IN 46392 | 2006-08-05 |
| 1457317786 | Jasper County Hospital | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392 | 2006-04-25 |
| 1306038559 | Kankakee Valley School Corporation | Local Education Agency (LEA) | 12021 North 550 West, Wheatfield, IN 46392 | 2007-08-13 |
| 1801173349 | Kathleen Kleefisch | Nurse Practitioner | 492s Bierma St, Wheatfield, IN 46392-6004 | 2011-11-11 |
| 1578084240 | Heather Lynn Stokes | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392-6004 | 2017-07-03 |
| 1316327364 | Franciscan Health Rensselaer, Inc. | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392-6004 | 2015-06-04 |
| Find all providers in zip 46392 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528331667 | Krol Family Medicine LLC | Nurse Practitioner | 165 E Robbins Street, Wheatfield, IN 46392-6006 | 2012-02-21 |
| 1063756138 | Erin A Husch | Nurse Practitioner | 492 S Bierma St, Wheatfield, IN 46392-6004 | 2012-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538769948 | Amy Renee Bradley | Nurse Practitioner | 10404 Cerulean Dr, Noblesville, IN 46060-7676 | 2020-10-27 |
| 1083213607 | Medihealth Primary Care LLC | Nurse Practitioner | 2345 W Franklin St Ste 102, Evansville, IN 47712-5100 | 2020-10-23 |
| 1891394599 | Laury Farrell | Nurse Practitioner | 6017 Stoney Creek Dr, Fort Wayne, IN 46825-4410 | 2020-10-22 |
| 1255930657 | Caitlyn Shuck | Nurse Practitioner | 2641 Marsh Hawk Dr, Greenwood, IN 46143-5749 | 2020-10-19 |
| 1730787599 | Crystal Neal | Nurse Practitioner | 4430 Keeneland Ln Unit 202, Fort Wayne, IN 46845-1985 | 2020-10-14 |
| 1285240390 | Amy D Perry | Nurse Practitioner | 728 N Cross Pointe Blvd # 102, Evansville, IN 47715-9163 | 2020-09-23 |
| 1013523588 | Amy Deion Stitt | Nurse Practitioner | 738 E 200 N, Warsaw, IN 46582-4658 | 2020-09-21 |
| 1881200152 | Positive Energy Health Center LLC | Nurse Practitioner | 5023 E 56th St Ste 130, Indianapolis, IN 46226-1471 | 2020-09-21 |
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1821615485 | Denise Michelle Alexander | Nurse Practitioner | 815 West 2nd Street, Bloomington, IN 47403-2212 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | WHEATFIELD |
| Zip Code | 46392 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.