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ISRAEL NIETO
NPI 1952890352
Nurse Practitioner - Family in Gary, IN

Active since May 02, 2018PECOS EnrolledAccepts Medicare Assignment
4900 BROADWAY, GARY, IN 46408(219) 237-5170(219) 321-1931 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2024, Jul 26, 2024, Feb 9, 2024 and 2 more (5 updates tracked since 2018).

About Israel Nieto NPPES

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

ISRAEL NIETO (NPI 1952890352) is an individual family provider in Gary, Indiana, licensed in Indiana (71007936A) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1952890352
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameISRAEL NIETO
Location Address4900 BROADWAYGary, IN 46408-4605
Mailing AddressPo Box 746721Atlanta, GA 30374-6721 · (773) 352-1515 · Fax (312) 929-0373
Phone(219) 237-5170
Fax(219) 321-1931
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 2, 2018
Last NPPES UpdateSeptember 9, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
✔ NPI 1952890352 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 · 71007936A
4900 BROADWAY, Gary, IN 46408
Open in Google Maps ↗

Secondary Practice Locations 3

Location 110736 Randolph StWinfield, IN 46307-7983 · Phone (931) 253-1110
Location 2925 S Nebraska StMarion, IN 46953-1874 · Phone (765) 664-7492 · Fax (844) 397-1313
Location 35818 Columbia AveHammond, IN 46320 · Phone (219) 237-5160 · Fax (219) 321-1935

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Israel Nieto 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 ID6800151028
PECOS Enrollment IDI20180517001097
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Israel Nieto reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northshore Health Centers, Inc.
1.5 mi
Federally Qualified Health Center (FQHC)
6091 BROADWAY
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 134 clinicians in this Medicare group
NPI 1477810315 (219) 763-8112
Southlake Community Mental Health Center Inc.
4.8 mi
Psychiatric Hospital
8555 TAFT ST
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
NPI 1548407216 (219) 769-4005
Karefirst Indiana PC
57 mi
Nurse Practitioner
20531 DARDEN RD
South Bend, IN 46637
  • Reassigned Medicare billing, Indiana enrollment
  • 16 clinicians in this Medicare group
NPI 1639545882 (847) 235-6130
Valley Oaks Health Inc
80 mi
Mental Health (Including Community Mental Health Center)
415 N 26TH STREET, SUITE 201
Lafayette, IN 47904
  • Reassigned Medicare billing, Indiana enrollment
  • 93 clinicians in this Medicare group
NPI 1689629990 (765) 446-6535
Fc Indiana, LLC
189 mi
Nurse Practitioner
2418 16TH ST
Bedford, IN 47421
  • Reassigned Medicare billing, Indiana enrollment
  • 156 clinicians in this Medicare group
NPI 1225579063 (812) 508-8683
Fast Pace Medical Clinic PLLC
218 mi
Family Medicine
4152 W STATE ROAD
Hanover, IN 47243
  • Reassigned Medicare billing, Indiana enrollment
  • 220 clinicians in this Medicare group
NPI 1649770769 (931) 253-1110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46408 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.

Other Providers at the Same Location NPPES 11

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

MELISSA RODRIGUEZ LCSW
Social Worker
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
MICHELLE WATHIER NP
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
MR. DARNELL RATHER FNP
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
ADELLA BLONDET
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
DR. KEVIN SCOTT BODKIN D.O.
Family Medicine
4900 BROADWAY
GARY, IN 46408
Lake County (419) 696-6000
MRS. TONYA A. HARVEY NP
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
SIMRAN K. ARORA MD
Family Medicine
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170
SHARELLE NICOLE BISHOP
Nurse Practitioner (Family)
4900 BROADWAY
GARY, IN 46408
Lake County (219) 237-5170

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 Israel Nieto's NPI number?

The NPI number for Israel Nieto is 1952890352. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Israel Nieto located?

Israel Nieto practices at 4900 Broadway, Gary, IN 46408. The listed phone number is (219) 237-5170.

What is Israel Nieto's specialty?

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

Is Israel Nieto enrolled in Medicare?

Yes. Israel Nieto 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.

Which organizations bill Medicare for Israel Nieto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Israel Nieto reassigns Medicare benefits to 6 organizations: Northshore Health Centers, Inc. (Merrillville, IN), Southlake Community Mental Health Center Inc. (Merrillville, IN), Karefirst Indiana PC (South Bend, IN), Valley Oaks Health Inc (Lafayette, IN), Fc Indiana, LLC (Bedford, IN) and 1 more organization, 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 Israel Nieto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Israel Nieto accept?

Health plans from CareSource and Cigna Healthcare list Israel Nieto 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 Israel Nieto was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.