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MARY LOU ERTEL CPNP
NPI 1639138993
Nurse Practitioner - Primary Care in Lafayette, IN

Active since March 23, 2006
2600 GREENBUSH ST, LAFAYETTE, IN 47904(765) 448-8000(765) 448-8227 Get Directions Write a Review

NPPES record last updated: July 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Lou Ertel Cpnp NPPES

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

MARY LOU ERTEL CPNP (NPI 1639138993) is an individual primary care provider in Lafayette, Indiana, licensed in Indiana (71000614A) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1639138993
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARY LOU ERTELCredential: CPNP
Location Address2600 GREENBUSH STLafayette, IN 47904-2479
Mailing AddressPo Box 5545Lafayette, IN 47903-5545 · (765) 448-8000
Phone(765) 448-8000
Fax(765) 448-8227
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateJuly 23, 2012
✔ NPI 1639138993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IN · 71000614A
2600 GREENBUSH ST, Lafayette, IN 47904
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINQ15529IN
Other9397619IN · Phcs Pid Number
Medicare PINM400023840IN
Other000000351156IN · Anthem Provider Pin
Medicaid200465780IN

Other Providers at the Same Location NPPES 20

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

MICHELLE B HERBERTS MD
Internal Medicine (Critical Care Medicine)
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
KATHRYN LOUISE STUCKER MD
Student in an Organized Health Care Education/Training Program
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
ROGER E. BROWN CRNA
Nurse Anesthetist, Certified Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
DR. DAVID W KELLEY D.O.
Anesthesiology
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
DR. CARLOS SALAZAR CARCAMO M.D.
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
CARLOS A GAMBIRAZIO MD
Internal Medicine
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
HAILEY C SMALL MS CF-SLP
Speech-Language Pathologist
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000
MRS. ERIN WRIGHT RDN, CD
Dietitian, Registered
2600 GREENBUSH ST
LAFAYETTE, IN 47904
Tippecanoe County (765) 448-8000

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 Mary Ertel's NPI number?

The NPI number for Mary Ertel is 1639138993. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Mary Ertel located?

Mary Ertel practices at 2600 Greenbush St, Lafayette, IN 47904. The listed phone number is (765) 448-8000.

What is Mary Ertel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Mary Ertel was last updated on July 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.