SOE SAN FNP-C
NPI 1851152532
Nurse Practitioner - Family in Lagrange, IN

Q: What is Soe San's NPI number?

The NPI number for Soe San is 1851152532. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Q: What is Soe San's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soe San was last updated on July 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 19, 2024PECOS EnrolledAccepts Medicare Assignment

2500 N DETROIT ST, LAGRANGE, IN 46761(260) 463-2133(260) 463-3775 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2025, Mar 5, 2025 (2 updates tracked since 2025).

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About Soe San Fnp-c NPPES

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

SOE SAN FNP-C (NPI 1851152532) is an individual family provider in Lagrange, Indiana, licensed in Indiana (71014882A) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and maintains a secondary practice location in Bremen.

NPPES Registry Identity

NPI1851152532

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSOE SANCredential: FNP-C

Location Address2500 N DETROIT STLagrange, IN 46761-1158

Mailing AddressPo Box 236Lagrange, IN 46761-0236 · (260) 463-2133 · Fax (260) 463-3775

Phone(260) 463-2133

Fax(260) 463-3775

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 19, 2024

Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration

NPPES CertifiedJuly 3, 2025

✔ NPI 1851152532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71014882A

2500 N DETROIT ST, Lagrange, IN 46761

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Secondary Practice Location 1

Location 1710 W Dewey St, Bremen, INBremen, IN 46226-1466 · Phone (574) 301-4351

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soe San 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 ID42663312

PECOS Enrollment IDI20240202001145

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.

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150021

Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County

Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN

OwnershipVoluntary non-profit - Private

CMS Certification Number150045

Location1316 E Seventh StAuburn, IN 46706 · De Kalb County

Emergency services Birthing friendly

Parkview Whitley Hospital

Acute Care Hospitals · Columbia City, IN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150101

Location1260 E Sr 205Columbia City, IN 46725 · Whitley County

Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150146

Location401 Sawyer RdKendallville, IN 46755 · Noble County

Emergency services Birthing friendly

Parkview Wabash Hospital, Inc

Critical Access Hospitals · Wabash, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number151310

Location10 John Kissinger DriveWabash, IN 46992 · Wabash County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46761 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.

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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.

CHELSEA LAUREN MAUCHER NP

Nurse Practitioner (Acute Care)