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

Lisa M Nichols, FNP

Individual provider Family Nurse Practitioner · NPI 1063872109

Lisa M Nichols, FNP is a Nurse Practitioner in Chesterton, Indiana. Qualified in 2014, 12 years ago. Practices with Porter-Starke Services Inc, a 44-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
12
Licensed in
IN
In the registry since
2016
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

407 W Indiana Ave
Chesterton, IN 46304-2350
Phone: (219) 763-8112
Fax: (219) 764-5380
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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 71006113A (IN)

Record details

NPI number1063872109
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 2, 2016
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Porter-Starke Services Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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