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CAROL MARIE BUDGIN CNS
NPI 1912056482
Clinical Nurse Specialist - Critical Care Medicine in East Chicago, IN

Active since January 10, 2007PECOS EnrolledAccepts Medicare Assignment
4320 FIR ST, STE 320, EAST CHICAGO, IN 46312(219) 554-4080(219) 554-4085 Get Directions Write a Review

NPPES record last updated: December 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol Marie Budgin Cns NPPES

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

CAROL MARIE BUDGIN CNS (NPI 1912056482) is an individual critical care medicine provider in East Chicago, Indiana, licensed in Indiana (28083700A) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1912056482
Entity TypeIndividualFemale
Primary Taxonomy364SC0200X
Provider Legal NameCAROL MARIE BUDGINCredential: CNS
Location Address4320 FIR ST, STE 320East Chicago, IN 46312-3076
Mailing Address4320 Fir St, Ste 320East Chicago, IN 46312-3076 · (219) 554-4080 · Fax (219) 554-4085
Phone(219) 554-4080
Fax(219) 554-4085
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJanuary 10, 2007
Last NPPES UpdateDecember 30, 2010
✔ NPI 1912056482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SC0200X
License✔ Licensed in IN · 28083700A
4320 FIR ST, East Chicago, IN 46312
Open in Google Maps ↗

Other Identifiers 7

Medicaid200067750AIN
Medicare PIN409080LIN
Other28083700AIN · State License
Medicare UPINQ78345IN
Medicare PIN197050HIN
Medicare UPINQ78345
Medicaid200067750CIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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

Carol Marie Budgin Cns 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 ID3072610427
PECOS Enrollment IDI20070518000144
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.

Areas of Expertise CMS Part B claims 3

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.
82 services70 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.
70 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services32 patients

Hospital Affiliations CMS Care Compare 2

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150008
Location4321 Fir StreetEast Chicago, IN 46312 · Lake County
Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150125
Location901 Macarthur BlvdMunster, IN 46321 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46312 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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 19

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

MRS. KRYSTAL YVONNE RUNYON
4320 FIR ST, SUITE 210
EAST CHICAGO, IN 46312
Lake County (219) 228-4776
AMIT KAKKAR MD
Internal Medicine (Interventional Cardiology)
4320 FIR ST, STE 320
EAST CHICAGO, IN 46312
Lake County (219) 392-7992
CENTRO MEDICO RUIZ-MONTERO PC
Internal Medicine
4320 FIR ST, STE 410
EAST CHICAGO, IN 46312
Lake County (219) 397-8965
ST CATHERINE HOSPITAL INC
Otolaryngology
4320 FIR ST, STE 210
EAST CHICAGO, IN 46312
Lake County (219) 392-7665
219 HEALTH NETWORK, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
4320 FIR ST, UNIT 220
EAST CHICAGO, IN 46312
Lake County (219) 703-2591
ST CATHERINE HOSPTIAL INC
Orthopaedic Surgery
4320 FIR ST, STE 201
EAST CHICAGO, IN 46312
Lake County (219) 392-7664
MR. GREGORY BROMMETT STEPHENSON PA-C
Physician Assistant
4320 FIR ST, SUITE 210
EAST CHICAGO, IN 46312
Lake County (219) 836-5464
DR. RAJARAMAN SUBRAMANIAN IYER MD
Pediatrics
4320 FIR ST, STE 208
EAST CHICAGO, IN 46312
Lake County (219) 398-9265

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 Carol Budgin's NPI number?

The NPI number for Carol Budgin is 1912056482. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Carol Budgin located?

Carol Budgin practices at 4320 Fir St Ste 320, East Chicago, IN 46312. The listed phone number is (219) 554-4080.

What is Carol Budgin's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Critical Care Medicine, with taxonomy code 364SC0200X.

Is Carol Budgin enrolled in Medicare?

Yes. Carol Budgin 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.

What insurance does Carol Budgin accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Carol Budgin 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 Carol Budgin affiliated with any hospitals?

According to CMS data, Carol Budgin is affiliated with St Catherine Hospital Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Carol Budgin was last updated on December 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.