Individual provider Active NPI

Janice Marie Bohlim, NP

  • Family Nurse Practitioner
  • La Porte, IN
National Provider Identifier
1821499328
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71005196A Issued in IN
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141125001592 IN Practitioner - Nurse Practitioner 1951623180 Reassigns benefits to 4 organizations

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
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians

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 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
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

LicenseStateTypeSpecialty
28157114AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC CurrentSince Mar 1, 2016 Accepting new patients
Porter Physician Services LLC Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Healthlinc, Inc. Current Accepting new patients
Healthlinc, Inc CurrentSince Dec 1, 2024 Accepting new patients
Healthlinc, Inc CurrentSince Dec 1, 2024 Accepting new patients
La Porte Clinic Company LLC CurrentSince Mar 1, 2016 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Feb 13, 2017 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Feb 13, 2017 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.