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

Soe San, FNP-C

Individual provider Family Nurse Practitioner · NPI 1851152532

Soe San, FNP-C is a Nurse Practitioner in Lagrange, Indiana. Qualified in 2023, 3 years ago. Practices with Northeast Internal Medicine Associates, PC, a 53-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
3
Licensed in
IN
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2500 N Detroit St
Lagrange, IN 46761-1158
Phone: (260) 463-2133
Fax: (260) 463-3775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 710 W Dewey St, Bremen, IN 46226-1466 — (574) 301-4351

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71014882A (IN)

Record details

NPI number1851152532
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025
Mailing addressPo Box 236, Lagrange, IN 46761-0236

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Internal Medicine Associates, Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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