Individual provider Active NPI

Elizabeth M Spoljoric, WHNP

  • Women's Health Nurse Practitioner
  • La Porte, IN
National Provider Identifier
1457057341
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
71013549A Issued in IN
Practice address
1509 State St
La Porte, IN 46350-3115
Phone
(219) 326-0943
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 71013549A IN Primary

Addresses

Primary practice location

1509 State St
La Porte, IN 46350-3115

Mailing address

3145 N 400 W
La Porte, IN 46350-8528
Phone (219) 575-2650

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
I20230317002164 IN Practitioner - Nurse Practitioner 2567836380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians

Practice addresses (Care Compare)

104 E Culver Rd
Knox, IN 46534-2241

1509 State St
La Porte, IN 46350-3115
Phone (219) 326-5700

3777 N Frontage Rd
Michigan City, IN 46360-7697

Hospital & facility affiliations

  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Apr 1, 2023 Accepting new patients
La Porte Clinic Company LLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

104 E Culver Rd
Ste 102
Knox, IN 46534
Phone (574) 772-1580

1509 State St
Laporte, IN 46350
Phone (219) 324-3431

3777 N Frontage Rd
Ste 600
Michigan City, IN 46360
Phone (219) 877-3841

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1457057341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 N 400 W",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463508528",
            "telephone_number": "219-575-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 STATE ST",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463503115",
            "telephone_number": "219-326-0943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOLJORIC",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IN",
            "license": "71013549A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.