Individual provider Active NPI

Michele Christine Kotis, NP

  • Family Nurse Practitioner
  • Munster, IN
National Provider Identifier
1073180139
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71011185A Issued in IN
Practice address
9307 Calumet Ave Ste D1
Munster, IN 46321-2892
Phone
(121) 970-3939
Fax
(219) 703-6704
NPI assigned
Jun 8, 2021
Last updated
Apr 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71011185A IN Primary

Addresses

Primary practice location

9307 Calumet Ave Ste D1
Munster, IN 46321-2892

Mailing address

13458 W 83Rd PL
Saint John, IN 46373-9169
Phone (219) 775-3839

Other practice location 1

701 Superior Ave
Munster, IN 46321-4037
Phone (219) 864-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220105001079 IN Practitioner - Nurse Practitioner 4183026198 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Cancer Centers PCGroup PAC ID 4587553474, 26 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

342 E 109TH Ave
Northwest Cancer Ctr
Crown Point, IN 46307-8693
Phone (219) 310-2550

701 Superior Ave
Munster, IN 46321-4037
Phone (317) 528-4800

9307 Calumet Ave
Suite D1
Munster, IN 46321-2892
Phone (219) 836-2055

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71011185AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
219 Health Network Inc Family CurrentSince Sep 1, 2023 Accepting new patients
219 Health Network, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Community Care Network Inc CurrentSince Feb 1, 2022 Accepting new patients
Northwest Cancer Centers, PC CurrentSince May 15, 2024 Accepting new patients
La Porte Clinic Company LLC Past Accepting new patients
Northshore Health Centers, Inc. PastSince Jun 1, 2021 Accepting new patients
Pithadia Medical Professional Services Inc PastSince Jul 1, 2021 Accepting new patients

Locations

10191 Broadway
#200
Crown Point, IN 46307
Phone (219) 924-8178

342 E 109th Ave
Crown Point, IN 46307
Phone (219) 310-2550

1001 Calumet Ave
Dyer, IN 46311
Phone (219) 924-8178

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

1600 S Lake Park Ave
Ste 1101
Hobart, IN 46342
Phone (219) 947-1795

1331 State St
Ste 240
La Porte, IN 46350
Phone (219) 326-0943

1331 State St
Ste 270
La Porte, IN 46350
Phone (219) 236-0943

5510 Franklin St
Michigan City, IN 46360
Phone (219) 809-2600

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9134 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 703-2410

9307 Calumet Ave
Ste D1
Munster, IN 46321
Phone (219) 703-9399

3800 Saint Mary Rd
Ste 302
Valparaiso, IN 46383
Phone (219) 464-1620

Interoperability endpoints

  • Direct secure messaging: michele.kotis.p1@direct.northshorehealth.nextgenshare.com
  • Direct secure messaging: mkotis19513@themethodisthospitals.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1073180139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13458 W 83RD PL",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739169",
            "telephone_number": "219-775-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9307 CALUMET AVE STE D1",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212892",
            "telephone_number": "121-970-3939",
            "fax_number": "219-703-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Superior Ave",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214037",
            "country_code": "US",
            "telephone_number": "219-864-2022",
            "fax_number": "219-864-2659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOTIS",
        "first_name": "MICHELE",
        "middle_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71011185A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.