Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Dearth

Individual provider Family Nurse Practitioner · NPI 1689249294

Carly Dearth is a Nurse Practitioner in Crown Point, Indiana. Qualified in 2019, 7 years ago. Practices with Eventus Wholehealth PLLC, a 299-clinician group. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

5521 W Lincoln Hwy
Crown Point, IN 46307-1097
Phone: (219) 769-1362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209022620 (IL)

Record details

NPI number1689249294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2021
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 8, 2023
Mailing address7028 E 110th Ln, Crown Point, IN 46307-9433

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Eventus Wholehealth Pllc — 299 clinicians
Accepts Medicare assignment Not indicated
Practice locations7 on file with Medicare

Other providers in Crown Point