Individual provider Active NPI

Michelle Wathier, NP

  • Family Nurse Practitioner
  • Gary, IN
National Provider Identifier
1124436217
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
28167408A Issued in IN
Practice address
4900 Broadway
Gary, IN 46408-4605
Phone
(219) 237-5170
NPI assigned
Aug 1, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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 28167408A IN Primary

Addresses

Primary practice location

4900 Broadway
Gary, IN 46408-4605

Mailing address

PO Box 746721
Atlanta, GA 30374-6721
Phone (312) 733-9730

Other practice location 1

2272 North Main Street
Minute Clinic
Crown Point, IN 46307
Phone (708) 903-5876

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
I20140924000718 IN Practitioner - Nurse Practitioner 4486873437 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians
Oak Street Health Physicians Group PCGroup PAC ID 7517109879, 227 clinicians

Practice addresses (Care Compare)

422 W McKinley Ave
Suite B
Mishawaka, IN 46545-5522
Phone (574) 666-2573

4900 Broadway
Gary, IN 46408-4605
Phone (312) 733-9730

5818 Columbia Ave
Hammond, IN 46320-2607
Phone (219) 237-5160

5926 Crawfordsville Rd
B
Speedway, IN 46224-3722
Phone (317) 653-2730

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28167408AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group, PC Family CurrentSince Jun 26, 2023 Accepting new patients
Cleanslate Medical Group of Indiana LLC CurrentSince Mar 1, 2023 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Nov 28, 2022 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Nov 28, 2022 Accepting new patients
Osh-in Physicians Group, PC Family CurrentSince Jan 19, 2026 Accepting new patients
Osh-Oh Physicians Group PC PastSince Jun 11, 2023 Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

4900 Broadway
Gary, IN 46408
Phone (219) 237-5170

5818 Columbia Ave
Hammond, IN 46320
Phone (219) 237-5160

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

8601 Connecticut St
Merrillville, IN 46410
Phone (219) 525-3495

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1406851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1124436217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746721",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746721",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464084605",
            "telephone_number": "219-237-5170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2272 North Main Street",
            "address_2": "Minute Clinic",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "46307",
            "country_code": "US",
            "telephone_number": "708-903-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATHIER",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-01",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28167408A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

Verify at the official NPI Registry.