EBONY WHITESIDE
NPI 1255200077
Nurse Practitioner in Merrillville, IN
About Ebony Whiteside NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY WHITESIDE (NPI 1255200077) is an individual nurse practitioner in Merrillville, Indiana, licensed in Indiana (71017385B) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ebony Whiteside is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Hospitals Inc
Acute Care Hospitals · Gary, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46410 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
MERRILLVILLE, IN 46410
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 Ebony Whiteside's NPI number?
The NPI number for Ebony Whiteside is 1255200077. It was assigned to this individual provider in the NPPES registry on October 30, 2025.
Where is Ebony Whiteside located?
Ebony Whiteside practices at 200 E 89th Ave, Merrillville, IN 46410. The listed phone number is (219) 644-3957.
What is Ebony Whiteside's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ebony Whiteside enrolled in Medicare?
Yes. Ebony Whiteside is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Ebony Whiteside affiliated with any hospitals?
According to CMS data, Ebony Whiteside is affiliated with Methodist Hospitals Inc.
When was this NPI record last updated?
The NPPES record for Ebony Whiteside was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ebony Whiteside · NPI 1255200077
Nurse Practitioner physician in Merrillville, Indiana. Individual provider, active in the CMS NPPES registry since October 30, 2025.
## Identity
- **NPI:** 1255200077 (Entity type: Individual)
- **Enumerated:** October 30, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71017385B (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 E 89TH AVE, Merrillville, IN 46410-7318
- **Phone:** (219) 644-3957
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** November 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255200077) · Data from the CMS NPPES public registry.