HEATHER S GENGNAGEL NP
NPI 1467222331
Nurse Practitioner - Family in Crown Point, IN

Active since January 03, 2024PECOS EnrolledAccepts Medicare Assignment
12750 SAINT FRANCIS DR STE 320, CROWN POINT, IN 46307(219) 662-0077(219) 662-9496 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2024, Sep 26, 2024, Jan 3, 2024 (3 updates tracked since 2024).

About Heather S Gengnagel Np NPPES

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

HEATHER S GENGNAGEL NP (NPI 1467222331) is an individual family provider in Crown Point, Indiana, licensed in Indiana (71014861A) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Franciscan Health Dyer, and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1467222331
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER S GENGNAGELCredential: NP
Location Address12750 SAINT FRANCIS DR STE 320Crown Point, IN 46307-0264
Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479
Fax(219) 662-9496
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 3, 2024
Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1467222331 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
Licenses✔ Licensed in IN · 71014861A✔ Licensed in IN · 28222842A
12750 SAINT FRANCIS DR STE 320, Crown Point, IN 46307

Secondary Practice Location 1

Location 1211 N Eddy StSouth Bend, IN 46617-3096 · Phone (574) 239-1433 · Fax (574) 237-9272

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather S Gengnagel Np 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.

PECOS PAC ID2163865577
PECOS Enrollment IDI20240213000385
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.

Medicare Billing Reassignment

Medicare enrollment records show Heather Gengnagel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
258 services202 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
145 services112 patients
Magnesium level 83735
A magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
101 services85 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
85 services75 patients
Iron level 83540
An iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.
62 services54 patients
Iron binding capacity 83550
Iron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.
62 services54 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Franciscan Health Dyer

Acute Care Hospitals · Dyer, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150090
Location24 Joliet StDyer, IN 46311 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Munster

Acute Care Hospitals · Munster, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150165
Location701 Superior AveMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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 8

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

Internal Medicine (Clinical Cardiac Electrophysiology)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Physician Assistant
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Nurse Practitioner
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Nurse Practitioner (Family)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Nurse Practitioner (Adult Health)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Internal Medicine (Clinical Cardiac Electrophysiology)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Internal Medicine (Cardiovascular Disease)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307
Surgery (Vascular Surgery)
12750 SAINT FRANCIS DR STE 320
CROWN POINT, IN 46307

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 Heather Gengnagel's NPI number?

The NPI number for Heather Gengnagel is 1467222331. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Heather Gengnagel located?

Heather Gengnagel practices at 12750 Saint Francis Dr Ste 320, Crown Point, IN 46307. The listed phone number is (219) 662-0077.

What is Heather Gengnagel's specialty?

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

Is Heather Gengnagel enrolled in Medicare?

Yes. Heather Gengnagel 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.

Which organization bills Medicare for Heather Gengnagel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Gengnagel reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Gengnagel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Gengnagel accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Heather Gengnagel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Gengnagel affiliated with any hospitals?

According to CMS data, Heather Gengnagel is affiliated with Franciscan Health Dyer, Community Hospital, Franciscan Health Crown Point and Franciscan Health Munster.

When was this NPI record last updated?

The NPPES record for Heather Gengnagel was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.