Carolyn Mae Blouir, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Portage, IN
NPI 1174024939 · NPPES record last updated Aug 5, 2022
Key facts
- NPI
- 1174024939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 71007816A (IN)
- Practice address
- 3545 Arbor Blvd Ste E
Portage, IN 46368-4298 - Phone
- (219) 947-6920
- Fax
- (219) 947-6921
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Indiana University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Network Inc
Practice addresses (Care Compare)
3545 Arbor Blvd
Suite E
Portage, IN 46368-4298
Phone (219) 947-6920
Hospital & facility affiliations
- Powers Home Health Services
- St Mary Medical Center Inc
- Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180321001774 | IN | Practitioner - Nurse Practitioner | 6709148208 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bikashagarwal Inc. | Current |
Accepting new patients | |
| Community Care Network Inc | Nurse Practitioner | Current |
Accepting new patients |
| Healthpartners Medical Group, LLC | Past |
Accepting new patients |
Locations
1507 Wabash St
Ste 500B
Michigan City, IN 46360
Phone (219) 805-5333
802 E US Highway 20
Michigan City, IN 46360
Phone (219) 872-7251
8733 W 400 N
Michigan City, IN 46360
Phone (219) 879-0330
8865 W 400 N
Ste 105
Michigan City, IN 46360
Phone (219) 861-8740
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
3545 Arbor Blvd
Ste E
Portage, IN 46368
Phone (219) 947-6920
Interoperability endpoints
- cblouir121839@ssdirect.comhs.org
- carolyn.blouir@comhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71007816A | IN | Yes |
Addresses
Primary practice location
3545 Arbor Blvd Ste E
Portage, IN 46368-4298
Mailing address
3545 Arbor Blvd Ste E
Portage, IN 46368-4298
Phone (219) 947-6920
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000001565128 | Other | IN | ANTHEM |
| 300012968 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Carolyn.Blouir@comhs.org | Direct |
Other providers in Portage, IN
- Glendia Biggs
- Joelynn Bigheart
- Clark Tanner Bilbrey
- Paula A Bisseker
- Bloom Chiropractic & Wellness
- Valerie Michele Bly
- Chad Anthony Bogue
- Heather Bolan
- Shyanne Bradley
- Sarah L Brentlinger
All providers in Portage, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.