CARLY DEARTH
NPI 1689249294
Nurse Practitioner - Family in Crown Point, IN
About Carly Dearth NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLY DEARTH (NPI 1689249294) is an individual family provider in Crown Point, Indiana, licensed in Illinois (209022620) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carly Dearth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
13Medicare enrollment records show Carly Dearth reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Schererville, IN 46375
- Reassigned Medicare billing, Indiana enrollment
- 119 clinicians in this Medicare group
Merrillville, IN 46410
- Reassigned Medicare billing, Indiana and Ohio enrollments
- 233 clinicians in this Medicare group
Munster, IN 46321
- Reassigned Medicare billing, Indiana enrollment
- 124 clinicians in this Medicare group
Hammond, IN 46320
- Reassigned Medicare billing, Indiana enrollment
- 83 clinicians in this Medicare group
Willowbrook, IL 60527
- Reassigned Medicare billing, Illinois enrollment
- 410 clinicians in this Medicare group
Indianapolis, IN 46204
- Reassigned Medicare billing, Indiana and Ohio enrollments
- 210 clinicians in this Medicare group
Columbus, IN 47201
- Reassigned Medicare billing, Indiana and Ohio enrollments
- 129 clinicians in this Medicare group
Hilliard, OH 43026
- Reassigned Medicare billing, Indiana enrollment
- 150 clinicians in this Medicare group
Lexington, KY 40504
- Reassigned Medicare billing, Indiana enrollment
- 135 clinicians in this Medicare group
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 187 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.
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.
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.
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 Carly Dearth's NPI number?
The NPI number for Carly Dearth is 1689249294. It was assigned to this individual provider in the NPPES registry on May 25, 2021.
Where is Carly Dearth located?
Carly Dearth practices at 5521 W Lincoln Hwy, Crown Point, IN 46307. The listed phone number is (219) 769-1362.
What is Carly Dearth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carly Dearth enrolled in Medicare?
Yes. Carly Dearth is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Carly Dearth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carly Dearth reassigns Medicare benefits to 13 organizations: Midwest Express Care, Inc (Schererville, IN), Extended Care Specialists, Inc (Merrillville, IN), Nwi Urgent Care, LLC (Munster, IN), Midwest Express Care 4 LLC (Hammond, IN), Midwest Express Care 2, Inc (Willowbrook, IL) and 8 more organizations, listed in the Medicare section above. 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 Carly Dearth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carly Dearth accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Carly Dearth 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 Carly Dearth was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Carly Dearth · NPI 1689249294
Family physician in Crown Point, Indiana. Individual provider, active in the CMS NPPES registry since May 25, 2021.
## Identity
- **NPI:** 1689249294 (Entity type: Individual)
- **Enumerated:** May 25, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209022620 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5521 W LINCOLN HWY, Crown Point, IN 46307-1097
- **Phone:** (219) 769-1362
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 13 organizations under Medicare reassignment (form CMS-855R): Midwest Express Care, Inc (NPI 1942642848, Schererville, IN); Extended Care Specialists, Inc (NPI 1134146079, Merrillville, IN); Nwi Urgent Care, LLC (NPI 1043596703, Munster, IN); Midwest Express Care 4 LLC (NPI 1629502810, Hammond, IN); Midwest Express Care 2, Inc (NPI 1548692890, Willowbrook, IL); and 8 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1689249294) · Data from the CMS NPPES public registry.