Tami Clinkenbeard, NP - Medicare Nurse Practitioner in La Porte, IN

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Tami Clinkenbeard, NP is a medicare enrolled "Nurse Practitioner - Family" in La Porte, 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 Fast Pace Medical Clinic Pllc and her current practice location is 401 Newporte Blvd, La Porte, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 326-1775.

Tami Clinkenbeard is licensed to practice in Indiana (license number 71010488A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033748736.

Contact Information

Tami Clinkenbeard, NP
401 Newporte Blvd,
La Porte, IN 46350-4099
(219) 326-1775
(219) 326-1951

Map and Direction




Provider's Profile

Full NameTami Clinkenbeard
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location401 Newporte Blvd, La Porte, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tami Clinkenbeard graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1033748736
  • Provider Enumeration Date: 04/04/2020
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204247570
  • Enrollment ID: I20201118001933

Medical Identifiers

Medical identifiers for Tami Clinkenbeard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033748736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family F01200152 (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71010488A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary Medical Center IncHobart, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fast Pace Medical Clinic Pllc5395881841680

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. Tami Clinkenbeard allows following entities to bill medicare on her behalf.
Entity NameNorthwest Cancer Centers Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578527826
PECOS PAC ID: 4587553474
Enrollment ID: O20040310001213
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. Tami Clinkenbeard 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
Tami Clinkenbeard, NP
2022 Kelle Dr,
Chesterton, IN 46304-8708

Ph: (219) 364-4004		Tami Clinkenbeard, NP
401 Newporte Blvd,
La Porte, IN 46350-4099

Ph: (219) 326-1775

Reviews and Comments


Nurse Practitioner Nurses in La Porte, IN

Mrs. Jennifer Campbell, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1509 State Street, La Porte, IN 46350
Phone: 219-324-3431    Fax: 219-362-3802
Kimberly Minich,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 602 F St, La Porte, IN 46350
Phone: 219-324-1377    
Fabienne Fify,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1700 I St, La Porte, IN 46350
Phone: 708-288-5036    
April Donald, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 204 Legacy Plz W, La Porte, IN 46350
Phone: 219-476-7246    
Mrs. Tina Marie Pierce, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 809 Jefferson Ave, La Porte, IN 46350
Phone: 219-878-5645    
Sandra R Gates-manna, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1509 State St, La Porte, IN 46350
Phone: 219-325-5434    Fax: 219-325-7655

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.