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

Q: 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.

Q: What is Israel Nieto'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 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 23 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.

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: August 09, 2026.

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

On this page

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.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

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.

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.

What insurance does Israel Nieto accept?

Health plans from CareSource 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 23 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.