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

Israel Nieto

Individual provider Family Nurse Practitioner · NPI 1952890352

Israel Nieto is a Nurse Practitioner in Gary, Indiana. Qualified in 2017, 9 years ago. Practices with Fast Pace Medical Clinic PLLC, a 738-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2018
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Practice location Address checks out

4900 Broadway
Gary, IN 46408-4605
Phone: (219) 237-5170
Fax: (219) 321-1931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 5818 Columbia Ave, Hammond, IN 46320 — (219) 237-5160
  • 925 S Nebraska St, Marion, IN 46953-1874 — (765) 664-7492
  • 10736 Randolph St, Winfield, IN 46307-7983 — (931) 253-1110

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71007936A (IN)

Record details

NPI number1952890352
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 2, 2018
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Fast Pace Medical Clinic Pllc — 738 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Gary