Active NPI
Carolyn Mae Blouir, FNP-C
- Family Nurse Practitioner
- Portage, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71007816A
- Practice address
- 3545 Arbor Blvd Ste E
Portage, IN 46368-4298 - Phone
- (219) 947-6920
- Fax
- (219) 947-6921
- NPI assigned
- Feb 26, 2018
- Last updated
- Aug 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71007816A | IN | Primary |
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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Carolyn.Blouir@comhs.org | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Indiana University School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3545 Arbor Blvd
Suite E
Portage, IN 46368-4298
Phone (219) 947-6920
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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
- carolyn.blouir@comhs.org
- cblouir121839@ssdirect.comhs.org
Organizations & group practices 3
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.
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
Nurse Practitioner
-
- Internal Medicine Physician
- Michigan City, IN
- NPI 1255610697
-
dba HealthPartners
- Multi-Specialty Clinic/Center
- Michigan City, IN
- NPI 1013014158
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
dba Home Health of St Mary Medical Center
- Home Health Agency
- Hobart, IN
- NPI 1528160736
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1174024939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 ARBOR BLVD STE E",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463684298",
"telephone_number": "219-947-6920",
"fax_number": "219-947-6921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3545 ARBOR BLVD STE E",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463684298",
"telephone_number": "219-947-6920",
"fax_number": "219-947-6921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUIR",
"first_name": "CAROLYN",
"middle_name": "MAE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71007816A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Carolyn.Blouir@comhs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3545 Arbor Blvd Ste E",
"city": "Portage",
"state": "IN",
"country_code": "US",
"postal_code": "463684298",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.