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

Roger Farris

Individual provider Family Nurse Practitioner · NPI 1902491558

Roger Farris is a Nurse Practitioner in Highland, Indiana. Qualified in 2020, 6 years ago. Practices with Knox Winamac Community Health Centers Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2021
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Practice location Address checks out

9030 Cline Ave Ste A
Highland, IN 46322-2204
Phone: (219) 750-9497
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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 71010873A (IN)

Record details

NPI number1902491558
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 5, 2021
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing address2106 Wicklow Dr, Valparaiso, IN 46385-7437

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Knox Winamac Community Health Centers Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Highland