Organization Active NPI

Elevated Health & Wellness LLC

  • Primary Care Clinic/Center
  • Merrillville, IN
National Provider Identifier
1902784887
Registry record updated Sep 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ELEVATED HEALTH & WELLNESS LLC
Practice address
209 E 86TH CT Ste D
Merrillville, IN 46410-6259
Phone
(219) 224-3205
Fax
(219) 803-1404
NPI assigned
Aug 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2025

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

Authorized official

Name
Sharon Anise Smith, NPNPI 1790477628
Title
Family Nurse Practitioner
Phone
(219) 224-3205

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

209 E 86TH CT Ste D
Merrillville, IN 46410-6259

Mailing address

209 E 86TH CT Ste D
Merrillville, IN 46410-6259
Phone (219) 224-3205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251021002342 IN Part B Supplier - Clinic/Group Practice 1254829419 Receives reassigned benefits from 1 practitioner
Practice locations: Merrillville, IN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2331678Elevated Health & Wellness LLC209 E 86TH Court, Suite D, Merrillville, IN 46410Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

Locations

2539 Willowcreek Rd
#1063
Portage, IN 46368

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757808000000",
    "number": "1902784887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E 86TH CT STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106259",
            "telephone_number": "219-224-3205",
            "fax_number": "219-803-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E 86TH CT STE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106259",
            "telephone_number": "219-224-3205",
            "fax_number": "219-803-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-09-14",
        "certification_date": "2025-09-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANISE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "219-224-3205",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.