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JAMES MICHAEL VANDERMARK FNP-C
NPI 1609534791
Nurse Practitioner - Family in Schererville, IN

Active since December 06, 2021PECOS EnrolledAccepts Medicare Assignment
1500 US HIGHWAY 41, SCHERERVILLE, IN 46375(219) 440-7373 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About James Michael Vandermark Fnp-c NPPES

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

JAMES MICHAEL VANDERMARK FNP-C (NPI 1609534791) is an individual family provider in Schererville, Indiana, licensed in Indiana (71012159A) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609534791
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJAMES MICHAEL VANDERMARKCredential: FNP-C
Location Address1500 US HIGHWAY 41Schererville, IN 46375-1316
Mailing Address1500 Us Highway 41Schererville, IN 46375-1316 · (219) 440-7373
Phone(219) 440-7373
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 6, 2021
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 17, 2022
✔ NPI 1609534791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71012159A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28244587A (IN)
1500 US HIGHWAY 41, Schererville, IN 46375
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

James Michael Vandermark Fnp-c 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 ID547646416
PECOS Enrollment IDI20230824003786
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 Reassignments

2

Medicare enrollment records show James Vandermark reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Axess Clinic And Diagnostics LLC
34 mi
Pain Medicine
10176 W 400 N STE A
Michigan City, IN 46360
  • Reassigned Medicare billing, Indiana enrollment
  • 5 clinicians in this Medicare group
NPI 1588250534 (219) 809-9839
Illinois Center For Pain Control LLC
34 mi
Pain Medicine
10176 W 400 N, SUITE B
Michigan City, IN 46360
  • Reassigned Medicare billing, Indiana enrollment
  • 9 clinicians in this Medicare group
NPI 1437556941 (219) 809-9839

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 8

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.
563 services194 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
520 services185 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
486 services182 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
148 services22 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
35 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services21 patients

Hospital Affiliations CMS Care Compare

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46375 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.

ANGELA BLAGOJEVSKI PA
Physician Assistant (Medical)
1500 US HIGHWAY 41
SCHERERVILLE, IN 46375
Lake County (219) 440-7373

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 James Vandermark's NPI number?

The NPI number for James Vandermark is 1609534791. It was assigned to this individual provider in the NPPES registry on December 6, 2021.

Where is James Vandermark located?

James Vandermark practices at 1500 Us Highway 41, Schererville, IN 46375. The listed phone number is (219) 440-7373.

What is James Vandermark's specialty?

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

Is James Vandermark enrolled in Medicare?

Yes. James Vandermark 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 organizations bill Medicare for James Vandermark's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Vandermark reassigns Medicare benefits to 2 organizations: Axess Clinic And Diagnostics LLC (Michigan City, IN) and Illinois Center For Pain Control LLC (Michigan City, IN). Each 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 James Vandermark's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Vandermark accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list James Vandermark 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 James Vandermark affiliated with any hospitals?

According to CMS data, James Vandermark is affiliated with Franciscan Health Michigan City.

When was this NPI record last updated?

The NPPES record for James Vandermark was last updated on June 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.