Upstream Health & Wellness, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

UPSTREAM HEALTH & WELLNESS, LLC

Practice address

3207 Willowcreek Rd Ste a
Portage, IN 46368-5013

Phone

(219) 763-3636

Fax

(219) 764-2479

NPI assigned

Mar 15, 2019

Organization subpart

No

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

Authorized official

Name

Robin AndersonNPI 1780012245

Title

Owner

Phone

(219) 763-3636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robin Anderson, NP-C

  • Family Nurse Practitioner
  • Portage, IN
  • NPI 1780012245
  Medicare reassignment NPD Authorized official
• Jessica Lynn Mercado, NP-C

  • Family Nurse Practitioner
  • Munster, IN
  • NPI 1811753320
  Medicare reassignment NPD
• Alexandria Molaro

  • Family Nurse Practitioner
  • Valparaiso, IN
  • NPI 1184213829
  Medicare reassignment NPD
• Cashawn Springer, NP

  • Family Nurse Practitioner
  • Michigan City, IN
  • NPI 1669291761
  Medicare reassignment NPD
• Anna Marie Bulmahn, PA

  • Physician Assistant
  • Portage, IN
  • NPI 1639843428
  Medicare reassignment
• Samantha Hunter, NP

  • Family Nurse Practitioner
  • Portage, IN
  • NPI 1275118093
  NPD
• Melanie Sue Splitgerber, FNP-BC

  • Family Nurse Practitioner
  • Valparaiso, IN
  • NPI 1861692832
  NPD (past)

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1174082523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3207 WILLOWCREEK RD STE A",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685013",
            "telephone_number": "219-763-3636",
            "fax_number": "219-764-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 WILLOWCREEK RD STE A",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685013",
            "telephone_number": "219-763-3636",
            "fax_number": "219-764-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTREAM HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-763-3636"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Ann Vasquez, FNP-C
• Sara Veldhuizen, MS, LMHC

• Family Nurse Practitioner in Portage, IN
• Providers in Portage, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.