NANCY ANNE PUDLO MD
NPI 1467610352
Pediatrics in Granger, IN

Active since May 28, 2008PECOS Enrolled
6913 N MAIN ST STE 200, GRANGER, IN 46530(574) 647-4540(574) 647-2971 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 31, 2021, Dec 8, 2017, Mar 24, 2016 (3 updates tracked since 2016).

About Nancy Anne Pudlo Md NPPES

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

NANCY ANNE PUDLO MD (NPI 1467610352) is an individual pediatrics provider in Granger, Indiana, licensed in Indiana (01065123A) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467610352
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameNANCY ANNE PUDLOCredential: MD
Location Address6913 N MAIN ST STE 200Granger, IN 46530-8039
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Fax(574) 647-2971
Sole ProprietorNo
Enumeration DateMay 28, 2008
Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1467610352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IN · 01065123A
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

6913 N MAIN ST STE 200, Granger, IN 46530

Other Identifiers 2

Other000000721926IN · Anthem Traditonal
Medicaid200908380IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nancy Anne Pudlo Md 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 46530 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 4

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

Pediatrics
6913 N MAIN ST STE 200
GRANGER, IN 46530
Pediatrics
6913 N MAIN ST STE 200
GRANGER, IN 46530
Nurse Practitioner (Family)
6913 N MAIN ST STE 200
GRANGER, IN 46530
Nurse Practitioner (Family)
6913 N MAIN ST STE 200
GRANGER, IN 46530

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 Nancy Pudlo's NPI number?

The NPI number for Nancy Pudlo is 1467610352. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Nancy Pudlo located?

Nancy Pudlo practices at 6913 N Main St Ste 200, Granger, IN 46530. The listed phone number is (574) 647-4540.

What is Nancy Pudlo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nancy Pudlo enrolled in Medicare?

Yes. Nancy Pudlo is registered in the Medicare PECOS enrollment system.

What insurance does Nancy Pudlo accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Nancy Pudlo 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.

When was this NPI record last updated?

The NPPES record for Nancy Pudlo was last updated on March 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.