Active NPI
Midwest Express Clinic
- Family Nurse Practitioner
- Crown Point, IN
National Provider Identifier
1285544304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MIDWEST EXPRESS CLINIC
- Practice address
- 129 E 107TH Ave
Crown Point, IN 46307-6517 - Phone
- (219) 662-4134
- NPI assigned
- Sep 10, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emma A Wahlstrom, NP
- Title
- Nurse Practitioner
- Phone
- (708) 822-7214
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
129 E 107TH Ave
Crown Point, IN 46307-6517
Mailing address
129 E 107TH Ave
Crown Point, IN 46307-6517
Phone (219) 662-4134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788998400000",
"number": "1285544304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 E 107TH AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463076517",
"telephone_number": "219-662-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 E 107TH AVE",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463076517",
"telephone_number": "219-662-4134"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST EXPRESS CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A",
"authorized_official_last_name": "WAHLSTROM",
"authorized_official_first_name": "EMMA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "708-822-7214",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.