Krystal Antrim, FNP - Medicare Nurse Practitioner in Laporte, IN

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Krystal Antrim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Laporte, Indiana. Her current practice location is 401 Newporte Blvd, Laporte, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 575-6244.

Krystal Antrim is licensed to practice in Indiana (license number F08211097) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053191593.

Contact Information

Krystal Antrim, FNP
401 Newporte Blvd,
Laporte, IN 46350
(219) 575-6244
Not Available

Map and Direction




Provider's Profile

Full NameKrystal Antrim
GenderFemale
SpecialityNurse Practitioner - Family
Location401 Newporte Blvd, Laporte, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053191593
  • Provider Enumeration Date: 10/02/2023
  • Last Update Date: 02/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4486005220
  • Enrollment ID: I20240105003098

Medical Identifiers

Medical identifiers for Krystal Antrim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053191593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F08211097 (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. Krystal Antrim allows following entities to bill medicare on her behalf.
Entity NamePorter Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508075680
PECOS PAC ID: 1850482407
Enrollment ID: O20070810000409
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 NameLa Porte Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568829224
PECOS PAC ID: 0446558357
Enrollment ID: O20160408001751

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. Krystal Antrim 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
Krystal Antrim, FNP
401 Newporte Blvd.,
Laporte, IN 46350

Ph: (219) 575-6244		Krystal Antrim, FNP
401 Newporte Blvd,
Laporte, IN 46350

Ph: (219) 575-6244

Reviews and Comments


Nurse Practitioner Nurses in Laporte, IN

Ms. Dorothy Jean White, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 900 I St, Laporte, IN 46350
Phone: 219-324-1700    
Laurie J Jones, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 600 Legacy Plaza East, Laporte, IN 46350
Phone: 219-921-1444    Fax: 219-921-5303

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.