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ANDREA E AHLGRIM DNP, NNP-BC
NPI 1740061068
Nurse Practitioner - Neonatal in South Bend, IN

Active since October 12, 2023
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, SOUTH BEND, IN 46601(574) 647-3050(574) 647-1094 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 5, 2024, Oct 12, 2023 (2 updates tracked since 2023).

About Andrea E Ahlgrim Dnp, Nnp-bc NPPES

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

ANDREA E AHLGRIM DNP, NNP-BC (NPI 1740061068) is an individual neonatal provider in South Bend, Indiana, licensed in Indiana (71014739A) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1740061068
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameANDREA E AHLGRIMCredential: DNP, NNP-BC
Location Address615 N MICHIGAN ST 1ST FL HOSPITALIST STESouth Bend, IN 46601-1033
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2129
Phone(574) 647-3050
Fax(574) 647-1094
Sole ProprietorYes
Enumeration DateOctober 12, 2023
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1740061068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in IN · 71014739A
615 N MICHIGAN ST 1ST FL HOSPITALIST STE, South Bend, IN 46601
Open in Google Maps ↗

Other Identifiers 1

Medicaid300085729IN

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.

NYCOLE WELLS MD
Internal Medicine
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3281
MELISSA N KESSIE MD
Family Medicine
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
PATRICK JOHN WATSON MD
Internal Medicine
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
MRS. ASHLEE TRENSEY MSN, RNC-NIC, NNP
Nurse Practitioner (Neonatal)
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
DR. KATHRYN LAINE DEMITRUK MD
Family Medicine
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
MEGHAN HAMLIN
Nurse Practitioner (Neonatal, Critical Care)
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
ANNE EISENHART NNP
Nurse Practitioner (Neonatal)
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050
JONATHAN VIDA
Family Medicine
615 N MICHIGAN ST 1ST FL HOSPITALIST STE
SOUTH BEND, IN 46601
St. Joseph County (574) 647-3050

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 Andrea Ahlgrim's NPI number?

The NPI number for Andrea Ahlgrim is 1740061068. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Andrea Ahlgrim located?

Andrea Ahlgrim practices at 615 N Michigan St 1st Fl Hospitalist Ste, South Bend, IN 46601. The listed phone number is (574) 647-3050.

What is Andrea Ahlgrim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

When was this NPI record last updated?

The NPPES record for Andrea Ahlgrim was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.