Bethany Michielsen, FNP-C

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

71009873A Issued in IN

Practice address

3325 Willowcreek Rd
Portage, IN 46368-5015

Phone

(219) 850-4490

NPI assigned

Mar 10, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBEIBA

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.

• Dr Mary Tilak PC

  • Obesity Medicine (Internal Medicine) Physician
  • Munster, IN
  • NPI 1003096900
  Medicare reassignment NPD
• Better Life MD PC

  • Physical Medicine & Rehabilitation Physician
  • Portage, IN
  • NPI 1013534155
  NPD (past)
• Better Quality of Life Care MD, PC

  • Multi-Specialty Clinic/Center
  • Munster, IN
  • NPI 1285164509
  NPD (past)
• Cardiovascular Consultants PC

  • Cardiovascular Disease Physician
  • Munster, IN
  • NPI 1538106711
  NPD (past)

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1437784451",
    "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": "219-850-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHIELSEN",
        "first_name": "BETHANY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "71009873A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Diagnostics Inc
• Mercy Midwest LLC
• Chloe Meredith
• Kelleen Merrell, IBCLC
• Louis Miceli, DO
• Michigan City Family Dentistry
• John Steven Midmore, MD
• Midwest Express Care 4 LLC
• Midwest Express Care 4, LLC
• Miller'S Health Systems, Inc.

• Primary Care Nurse Practitioner in Portage, IN
• Providers in Portage, IN by specialty
• Primary Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.