Marissa Bottos, FNP, APRN

Individual provider Active NPI Family Nurse Practitioner · La Porte, IN

NPI 1639720972 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1639720972
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
71009430A (IN)
Practice address
1331 State St # 340
La Porte, IN 46350-3112
Phone
(219) 324-0875
Fax
(219) 324-0827
NPI assigned
Sep 27, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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 3

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Porte Clinic Company LLC (66 clinicians)
Chesterton Physical Therapy Inc (191 clinicians)
Dalal Medical Corporation (9 clinicians)

Practice addresses (Care Compare)

1331 State St
Suite 340
La Porte, IN 46350-3112
Phone (219) 379-3166

425 Sand Creek Dr
Suite C
Chesterton, IN 46304-1589

9410 Calumet Ave
Munster, IN 46321-0018
Phone (219) 922-4900

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital · Gary, IN · CCN 150002
  • Northwest Health-la Porte Hospital · La Porte, IN · CCN 150006
  • Franciscan Health Munster Hospital · Munster, IN · CCN 150165

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100 (group)
Quality
84.45
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100 (group)
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20191114000477 IN Practitioner - Nurse Practitioner 5698107555 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Current
since Sep 1, 2020
Accepting new patients
La Porte Clinic Company LLC Current
since Mar 1, 2026
Accepting new patients
The Methodist Hospitals, Inc Current
since Sep 1, 2020
Accepting new patients
La Porte Clinic Company LLC Current
since Mar 1, 2026
Accepting new patients
Dalal Medical Corporation Family Current
since Oct 9, 2019
Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

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

402 W Culver Rd
Knox, IN 46534
Phone (219) 772-7918

1331 State St
Ste 340
La Porte, IN 46350
Phone (219) 324-0875

401 Newport Blvd
Laporte, IN 46350
Phone (219) 326-1775

8777 Broadway
Merrillville, IN 46410
Phone (219) 736-5151

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

101 E 87th Ave
Merrillville, IN 46410
Phone (219) 738-6670

9410 Calumet Ave
Ste 401
Munster, IN 46321
Phone (219) 922-4900

Interoperability endpoints

  • Direct secure messaging: mbottos158173@direct.franciscanalliance.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009430A IN Yes

Addresses

Primary practice location

1331 State St # 340
La Porte, IN 46350-3112

Mailing address

1331 State St # 340
La Porte, IN 46350-3112
Phone (219) 324-0875

Other names

  • Marissa Smith Former name

Other providers in La Porte, IN

All providers in La Porte, IN · Family Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.