Active NPI
Janice Marie Bohlim, NP
- Family Nurse Practitioner
- La Porte, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71005196A
- Practice address
- 1509 State St
La Porte, IN 46350-3115 - Phone
- (219) 324-3431
- Fax
- (219) 362-3802
- NPI assigned
- Sep 16, 2014
- Last updated
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28157114A | IN | |
| Family Nurse Practitioner | 363LF0000X | 71005196A | IN | Primary |
Addresses
Primary practice location
1509 State St
La Porte, IN 46350-3115
Mailing address
2022 Kelle Dr
Chesterton, IN 46304-8708
Phone (219) 364-4004
Other practice location 1
650 Dickinson Rd
Chesterton, IN 46304-3387
Phone (219) 926-7755
Other practice location 2
3630 Willowcreek Rd
Portage, IN 46368-5075
Phone (219) 364-3900
Other practice location 3
809 LaPorte Ave Ste B
Valparaiso, IN 46383-5801
Phone (219) 263-4977
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Janice.Bohlim@laportehosp.cernerdirect.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1509 State St
La Porte, IN 46350-3115
Phone (219) 326-5700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.68 of 100
- Quality
- 76.2
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 56.64
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28157114A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Porte Clinic Company LLC | Current | Accepting new patients | |
| Porter Physician Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| La Porte Clinic Company LLC | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Northwest Indiana Nephrology PC | Past | Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
2022 Kelle Dr
Chesterton, IN 46304
Phone (219) 364-3616
650 Dickinson Rd
Chesterton, IN 46304
Phone (219) 926-2133
650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507
1275 E North St
Crown Point, IN 46307
Phone (219) 663-2793
2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081
104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300
7002 W Johnson Rd
La Porte, IN 46350
Phone (219) 325-0604
1509 State St
Laporte, IN 46350
Phone (219) 324-3431
400 Teegarden St
Laporte, IN 46350
Phone (219) 326-0043
401 Newport Blvd
Laporte, IN 46350
Phone (219) 326-1775
751 E 81st Ave
Merrillville, IN 46410
Phone (219) 738-6600
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
3777 N Frontage Rd
Ste 300
Michigan City, IN 46360
Phone (219) 379-3166
3777 N Frontage Rd
Ste 500
Michigan City, IN 46360
Phone (219) 809-2889
3777 N Frontage Rd
Ste 600
Michigan City, IN 46360
Phone (219) 877-3841
420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300
3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000
1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173
2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100
809 Laporte Ave
#B
Valparaiso, IN 46383
Phone (219) 263-4977
Interoperability endpoints
- janice.bohlim@laportehosp.cernerdirect.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Valparaiso, IN
- NPI 1568829224
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
- Family Medicine Physician
- Valparaiso, IN
- NPI 1508075680
Nurse Practitioner
-
dba Methodist Northlake Physicians
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Federally Qualified Health Center (FQHC)
- La Porte, IN
- NPI 1538728399
-
dba HealthLinc - Newton
- Federally Qualified Health Center (FQHC)
- Morocco, IN
- NPI 1568354116
-
dba La Porte Physician Network Ophthalmology Care
- Durable Medical Equipment & Medical Supplies
- La Porte, IN
- NPI 1275081788
-
dba The Neuroscience Institute of NWI
- Neurology Physician
- Gary, IN
- NPI 1720290588
-
- Nephrology Physician
- Valparaiso, IN
- NPI 1285991885
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1821499328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2022 KELLE DR",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463048708",
"telephone_number": "219-364-4004",
"fax_number": "219-326-2584"
},
{
"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": "219-324-3431",
"fax_number": "219-362-3802"
}
],
"practiceLocations": [
{
"address_1": "650 Dickinson Rd",
"address_purpose": "LOCATION",
"city": "Chesterton",
"state": "IN",
"postal_code": "463043387",
"country_code": "US",
"telephone_number": "219-926-7755",
"fax_number": "219-929-1885",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3630 Willowcreek Rd",
"address_purpose": "LOCATION",
"city": "Portage",
"state": "IN",
"postal_code": "463685075",
"country_code": "US",
"telephone_number": "219-364-3900",
"fax_number": "219-364-3959",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "809 LaPorte Ave Ste B",
"address_purpose": "LOCATION",
"city": "Valparaiso",
"state": "IN",
"postal_code": "463835801",
"country_code": "US",
"telephone_number": "219-263-4977",
"fax_number": "219-263-4979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOHLIM",
"first_name": "JANICE",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-16",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28157114A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71005196A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Janice.Bohlim@laportehosp.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "AMR direct address",
"address_1": "1509 State St",
"city": "LA Porte",
"state": "IN",
"country_code": "US",
"postal_code": "463503115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Porte, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.