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MRS. DEBORAH CAROL NETHERCUTT NP-C
NPI 1104312172
Nurse Practitioner - Family in Elkhart, IN

Active since July 02, 2018PECOS Enrolled
1621 W BEARDSLEY AVE, ELKHART, IN 46514(574) 206-4156 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2023, Jan 15, 2021, Sep 10, 2018 and 2 more (5 updates tracked since 2018).

About Mrs. Deborah Carol Nethercutt Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. DEBORAH CAROL NETHERCUTT NP-C (NPI 1104312172) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71008316A) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains 18 additional practice locations.

NPPES Registry Identity

NPI1104312172
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DEBORAH CAROL NETHERCUTTCredential: NP-C
Location Address1621 W BEARDSLEY AVEElkhart, IN 46514-1825
Mailing Address3245 Health Drive, Suite 100Granger, IN 46530-1380 · (574) 647-3725
Phone(574) 206-4156
Sole ProprietorNo
Enumeration DateJuly 2, 2018
Last NPPES UpdateJune 8, 20265 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1104312172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71008316A
1621 W BEARDSLEY AVE, Elkhart, IN 46514
Open in Google Maps ↗

Secondary Practice Locations 18

Location 1320 S Dr Martin Luther King Jr Blvd Ste 300South Bend, IN 46601-2358 · Phone (574) 406-6376
Location 23371 W Cleveland Road Ext Ste 120South Bend, IN 46628-9780 · Phone (574) 218-6700
Location 3611 Lincoln Way ESouth Bend, IN 46601-3212 · Phone (574) 855-1090
Location 4926 W 500 SBerne, IN 46711-9592 · Phone (260) 849-4296
Location 52424 California RdElkhart, IN 46514-1226 · Phone (574) 262-5800
Location 6200 Noll PlzHuntington, IN 46750-4310 · Phone (260) 355-2355
Location 71001 Parkway Ave Ste 11Elkhart, IN 46516-9347 · Phone (574) 206-4399
Location 82707 S Western AveMarion, IN 46953-3565 · Phone (765) 697-9142
Location 91405 E Market StNappanee, IN 46550-2303 · Phone (574) 544-5423
Location 102932 W Ludwig RdFort Wayne, IN 46818-1328 · Phone (260) 755-1304
Location 11604 E 2nd StFowler, IN 47944-1383 · Phone (765) 885-2341
Location 123270 Intertech DrAngola, IN 46703-7325 · Phone (260) 305-2622
Location 132120 N Detroit StLaGrange, IN 46761-1147 · Phone (260) 766-6190
Location 142905 E 83rd PlMerrillville, IN 46410-6413 · Phone (219) 501-0851
Location 152701B Kent AveWest Lafayette, IN 47906-1350 · Phone (765) 222-4422
Location 16500 Arcade Ave Ste 210Elkhart, IN 46514-2485 · Phone (574) 389-5656 · Fax (574) 523-7891
Location 17306 Dr. Hampel DriveButler, IN 46721 · Phone (260) 366-4770
Location 18333 E Mishawaka AveMishawaka, IN 46545-6600 · Phone (574) 314-5950

Other Identifiers 1

Medicaid300018480IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Deborah Carol Nethercutt Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVERSIDE HEALTH, LLC
Clinic/Center (Primary Care)
1621 W BEARDSLEY AVE
ELKHART, IN 46514
Elkhart County (773) 697-3144

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deborah Nethercutt's NPI number?

The NPI number for Deborah Nethercutt is 1104312172. It was assigned to this individual provider in the NPPES registry on July 2, 2018.

Where is Deborah Nethercutt located?

Deborah Nethercutt practices at 1621 W Beardsley Ave, Elkhart, IN 46514. The listed phone number is (574) 206-4156.

What is Deborah Nethercutt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deborah Nethercutt enrolled in Medicare?

Yes. Deborah Nethercutt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Deborah Nethercutt was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.