Rebecca E Waugh
LA PORTE CLINIC COMPANY LLC


Address: 414 Lane St, North Judson, IN 46366-1226
Phone: 5748963444

Rebecca E Waugh (NPI# 1962888677, PAC ID# 7113233990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1962888677
PAC ID by PECOS 7113233990
Professional Enrollment ID I20150825005093
Full Name Rebecca E Waugh
Organization Legal Name LA PORTE CLINIC COMPANY LLC
Address 414 Lane St
North Judson
IN 46366-1226
Phone Number 5748963444
Gender F
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0446558357
Number of Group Practice Members 64
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150102 INDIANA UNIVERSITY HEALTH STARKE HOSPITAL
150006 LA PORTE HOSPITAL
151305 PULASKI MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
414 Lane St, North Judson, IN 46366-1226 5748963444 LA PORTE CLINIC COMPANY LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 99%
ACI_EC_TRANS_EP_1 e-Prescribing 99%
ACI_EC_TRANS_HIE_1 Health Information Exchange 100%
ACI_EC_TRANS_HIE_1 Health Information Exchange 100%
ACI_EC_TRANS_MR_1 Medication Reconciliation 88%
ACI_EC_TRANS_MR_1 Medication Reconciliation 88%
ACI_EC_TRANS_PEA_1 Provide Patient Access 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 100%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 10%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 10%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 68%
ACI_EC_TRANS_PSE_1 Patient-Specific Education 68%
ACI_EC_TRANS_SM_1 Secure Messaging 8%
ACI_EC_TRANS_SM_1 Secure Messaging 8%

Organization Information

Organization Legal Name LA PORTE CLINIC COMPANY LLC
Physicians 85

Physicians with the same organization

Name Specialty Organization Address
Sylvia Oudhuis Nurse Practitioner La Porte Clinic Company LLC 400 Legacy Plz W, La Porte, IN 46350-5296
Dustin T Simcoe Physician Assistant La Porte Clinic Company LLC 500 Legacy Plz W, La Porte, IN 46350-5254
Diana M Correll Physician Assistant La Porte Clinic Company LLC 304 Detroit St, La Porte, IN 46350-2497
Megan L Vermilyer Nurse Practitioner La Porte Clinic Company LLC 1509 State St, La Porte, IN 46350-3115
Sarah D Knapp Nurse Practitioner La Porte Clinic Company LLC 3777 N Frontage Rd, Michigan City, IN 46360-7695
Wendy R Dutcher Nurse Practitioner La Porte Clinic Company LLC 400 Teegarden St, La Porte, IN 46350-3175
Jennifer K Vanmeter Certified Nurse Midwife (cnm) La Porte Clinic Company LLC 601 W Kieffer Rd, Michigan City, IN 46360-9599
Sandra L Ringer Clinical Social Worker La Porte Clinic Company LLC 104 E Culver Rd, Knox, IN 46534-2241
Christopher A Conn General Surgery La Porte Clinic Company LLC 600 Legacy Plz W, La Porte, IN 46350-5268
Joseph R Arulandu Internal Medicine La Porte Clinic Company LLC 7002 W Johnson Rd, La Porte, IN 46350-8289

Office Location

Street Address 414 LANE ST
City NORTH JUDSON
State IN
Zip 46366-1226

Physicians in the same location

Name Specialty Organization Address
Beth A Ruff Nurse Practitioner Pulaski Memorial Hospital 414 Lane St, North Judson, IN 46366-1226
Curtis M Bejes Family Medicine Pulaski Memorial Hospital 414 Lane St, North Judson, IN 46366-1226

Physicians in the same zip code

Name Specialty Organization Address
Dennis Dalphond Family Practice La Porte Clinic Company LLC 108 W State St, North Judson, IN 46366-1320

Competitor

Search similar physicians

City NORTH JUDSON
Zip Code 46366
Specialty NURSE PRACTITIONER
City + Specialty NORTH JUDSON + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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