Carly Dearth, - Medicare Nurse Practitioner in Crown Point, IN

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Carly Dearth, is a medicare enrolled "Nurse Practitioner - Family" in Crown Point, Indiana. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Extended Care Specialists, Inc, Eventus Wholehealth Pllc and her current practice location is 5521 W Lincoln Hwy, Crown Point, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 769-1362.

Carly Dearth is licensed to practice in Illinois (license number 209022620) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1689249294.

Contact Information

Carly Dearth,
5521 W Lincoln Hwy,
Crown Point, IN 46307-1097
(219) 769-1362
Not Available

Map and Direction




Provider's Profile

Full NameCarly Dearth
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location5521 W Lincoln Hwy, Crown Point, Indiana
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carly Dearth graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1689249294
  • Provider Enumeration Date: 05/25/2021
  • Last Update Date: 02/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9931500527
  • Enrollment ID: I20210702002363

Medical Identifiers

Medical identifiers for Carly Dearth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689249294NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209022620 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Extended Care Specialists, Inc2466407713271
Eventus Wholehealth Pllc6002169539309

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carly Dearth allows following entities to bill medicare on her behalf.
Entity NameExtended Care Specialists, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134146079
PECOS PAC ID: 2466407713
Enrollment ID: O20050318000726
Entity NameNwi Urgent Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043596703
PECOS PAC ID: 7618142977
Enrollment ID: O20111214000990
Entity NameMidwest Express Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942642848
PECOS PAC ID: 5193957595
Enrollment ID: O20140417002077
Entity NameMidwest Express Care 4 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629502810
PECOS PAC ID: 4284909615
Enrollment ID: O20180131001651
Entity NameEventus Wholehealth Midwest Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386252757
PECOS PAC ID: 4183040470
Enrollment ID: O20200818000277
Entity NameEventus Ecs, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073353496
PECOS PAC ID: 2163969650
Enrollment ID: O20240801002542

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Dearth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carly Dearth,
7028 E 110th Ln,
Crown Point, IN 46307-9433

Ph: () -		Carly Dearth,
5521 W Lincoln Hwy,
Crown Point, IN 46307-1097

Ph: (219) 769-1362

Reviews and Comments


Nurse Practitioner Nurses in Crown Point, IN

Ms. Yvette Monique Caviness-kelley, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2100 N Main St # 304, Crown Point, IN 46307
Phone: 574-546-1900    Fax: 574-546-1999
Nichole Elaine Roberts, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9470 Broadway, Crown Point, IN 46307
Phone: 219-661-3260    Fax: 219-662-3770
Mrs. Lydia C Buyco, ADULT NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307
Phone: 219-662-5072    
Anita D Arthur, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2100 N Main St Ste 304, Crown Point, IN 46307
Phone: 574-546-1900    Fax: 574-546-1999
Mrs. Josefina Estrada Offredo, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9330 South Broadway Blvd, Crown Point, IN 46307
Phone: 219-662-5072    
Jennifer Lee Virgl, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12750 St Francis Dr, Crown Point, IN 46307
Phone: 219-757-6121    Fax: 219-681-6897
Kathleen A Nix, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 S Court St, Crown Point, IN 46307
Phone: 219-757-6272    Fax: 219-681-6954

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.