Individual provider Active NPI

Laura Stablein, FNP

  • Family Nurse Practitioner
  • Portage, IN
National Provider Identifier
1194474809
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71012391A Issued in IN
Practice address
3325 Willowcreek Rd
Portage, IN 46368-5015
Phone
(312) 933-0661
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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 71012391A IN Primary

Addresses

Primary practice location

3325 Willowcreek Rd
Portage, IN 46368-5015

Mailing address

8334 Beech Ave
Munster, IN 46321-1440
Phone (312) 933-0661

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
I20220428001423 IN Practitioner - Nurse Practitioner 3779970314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Better Life MD PCGroup PAC ID 0547684201, 3 clinicians

Practice addresses (Care Compare)

3325 Willowcreek Rd
Portage, IN 46368-5015
Phone (312) 933-0661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71012391AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc. Current Accepting new patients
Better Quality of Life Care MD, PC CurrentSince Jan 21, 2024 Accepting new patients
Healthlinc, Inc. CurrentSince May 1, 2022 Accepting new patients
Healthlinc, Inc CurrentSince May 1, 2022 Accepting new patients
Better Life MD PC CurrentSince Dec 20, 2023 Accepting new patients
Major Hospital Past Accepting new patients

Locations

1313 W Chicago Ave
East Chicago, IN 46312
Phone (219) 397-1196

3325 Willowcreek Rd
Portage, IN 46368
Phone (219) 764-4888

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

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.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1194474809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8334 BEECH AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211440",
            "telephone_number": "312-933-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 WILLOWCREEK RD",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685015",
            "telephone_number": "312-933-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABLEIN",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71012391A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.