Israel Nieto, - Medicare Nurse Practitioner in Gary, IN

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Israel Nieto, is a medicare enrolled "Nurse Practitioner - Family" in Gary, Indiana. His current practice location is 4900 Broadway, Gary, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 237-5170.

Israel Nieto is licensed to practice in Indiana (license number 71007936A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1952890352.

Contact Information

Israel Nieto,
4900 Broadway,
Gary, IN 46408-4605
(219) 237-5170
(219) 321-1931

Map and Direction




Provider's Profile

Full NameIsrael Nieto
GenderMale
SpecialityNurse Practitioner - Family
Location4900 Broadway, Gary, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952890352
  • Provider Enumeration Date: 05/02/2018
  • Last Update Date: 09/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6800151028
  • Enrollment ID: I20180517001097

Medical Identifiers

Medical identifiers for Israel Nieto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952890352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71007936A (Indiana)Primary

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. Israel Nieto allows following entities to bill medicare on his behalf.
Entity NameSouthlake Community Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821081290
PECOS PAC ID: 5991600355
Enrollment ID: O20040513000199
Entity NameNorthshore Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114257300
PECOS PAC ID: 5799671236
Enrollment ID: O20040827000220
Entity NameOak Street Health Physicians Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083051643
PECOS PAC ID: 7517109879
Enrollment ID: O20150608000402
Entity NameFc Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225579063
PECOS PAC ID: 8820360001
Enrollment ID: O20170823001260
Entity NameFast Pace Medical Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649770769
PECOS PAC ID: 5395881841
Enrollment ID: O20200827001491

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. Israel Nieto 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
Israel Nieto,
Po Box 746721,
Atlanta, GA 30374-6721

Ph: (773) 352-1515		Israel Nieto,
4900 Broadway,
Gary, IN 46408-4605

Ph: (219) 237-5170

Reviews and Comments


Nurse Practitioner Nurses in Gary, IN

Mrs. Amanda Joy Dech, MSN/FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 3229 Broadway Ste 205, Gary, IN 46409
Phone: 219-806-3000    
Mrs. Laresse Harris, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 W 6th Ave, Gary, IN 46402
Phone: 219-885-4264    
Mrs. Nkechi Pauline Onyeukwu, RN MSN FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3814 Grant Street, Gary, IN 46408
Phone: 219-884-3447    Fax: 219-884-3512
Miss Nathalie Maherani Batchassi, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 650 Grant St, Gary, IN 46404
Phone: 219-882-9900    
Michelle Wathier, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4900 Broadway, Gary, IN 46408
Phone: 219-237-5170    
Akeem Olasunkanmi Kareem,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 W 6th Ave, Gary, IN 46402
Phone: 219-885-4264    
Mr. Darnell Rather, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4900 Broadway, Gary, IN 46408
Phone: 219-237-5170    

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.