Lady Tan, APN
NPI 1063110369 · Acute Care Nurse Practitioner · Dyer, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lady Tan, APN is a Acute Care Nurse Practitioner provider in Dyer, IN (NPI 1063110369).
Provider details
- NPI number
- 1063110369
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APN
- Sex
- Female
- Sole proprietor
- No
- License
- 209.023891 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5841 S Maryland AveChicago, IL 60637-1443Phone: (773) 702-1000
Registry dates
- Enumerated
- 2023-02-16
- Last updated
- 2024-07-15
- Certified
- 2024-07-15
Frequently asked questions
- What is Lady Tan's NPI number?
- Lady Tan's National Provider Identifier (NPI) is 1063110369, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lady Tan's specialty?
- Lady Tan is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lady Tan located?
- Lady Tan's practice location on file with NPPES is 1462 Knighthood Dr, Dyer, IN 46311-2054.
- What is Lady Tan's phone number?
- The practice phone number listed in the NPPES registry for Lady Tan is (508) 542-5129.
- Does Lady Tan accept Medicare?
- Lady Tan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lady Tan's NPI active?
- Yes — Lady Tan's NPI (1063110369) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.