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ST MARY WOUND CLINIC
NPI 1962504175
General Acute Care Hospital in Hobart, IN

Active since September 01, 2006
1500 S LAKE PARK AVE, HOBART, IN 46342(219) 947-6448(219) 947-6839 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2024, Feb 22, 2023, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About St Mary Wound Clinic NPPES

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

ST MARY WOUND CLINIC (NPI 1962504175) is a healthcare organization registered as a general acute care hospital in Hobart, Indiana and active in the NPI registry since September 2006. The organization lists Char Kullerstrand, Regional Director, as its authorized official.

NPPES Registry Identity

NPI1962504175
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameST MARY MEDICAL CENTER INC
Location Address1500 S LAKE PARK AVEHobart, IN 46342-6638
Mailing Address1600 S Lake Park Ave, Ste 1103Hobart, IN 46342-6641 · (219) 947-6448 · Fax (219) 947-6839
Phone(219) 947-6448
Fax(219) 947-6839
Organization SubpartYes
Authorized OfficialChar KullerstrandRegional Director · (219) 934-8999
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 11, 20244 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1962504175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in IN · 060057861
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
1500 S LAKE PARK AVE, Hobart, IN 46342
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Other Names 1

Doing Business AsSt Mary Wound Clinic

Other Identifiers 1

Medicaid200031870IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St Mary Wound Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to St Mary Wound Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Christina Korem, FNP-C
Nurse Practitioner
NPI 1689145567
1500 S LAKE PARK AVE
Hobart, IN 46342
(219) 947-6448
✔ PECOS✔ Accepts MedicareSame address
Patricia Biel, FNP-BC
Nurse Practitioner
NPI 1063031367
3170 WILLOWCREEK RD
Portage, IN 46368
(219) 947-6385
✔ PECOS✔ Accepts Medicare5.2 mi
Dyanna Prairie, AU.D.
Qualified Audiologist
NPI 1144667825
901 MACARTHUR BLVD AUDIOLOGY DEPARTMENT
Munster, IN 46321
(219) 836-1600
13 mi

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

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 St Mary Medical Center Inc's NPI number?

The NPI number for St Mary Medical Center Inc is 1962504175. It was assigned to this organization in the NPPES registry on September 1, 2006. The provider is doing business as St Mary Wound Clinic.

Where is St Mary Medical Center Inc located?

St Mary Medical Center Inc is located at 1500 S Lake Park Ave, Hobart, IN 46342. The listed phone number is (219) 947-6448.

What is St Mary Medical Center Inc's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Is St Mary Medical Center Inc enrolled in Medicare?

Yes. St Mary Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through St Mary Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to St Mary Medical Center Inc, in Nurse Practitioner and Qualified Audiologist. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does St Mary Medical Center Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list St Mary Medical Center Inc 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 St Mary Medical Center Inc was last updated on July 11, 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.