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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MARYLOU CERVANTES
NPI 1124948229
Nurse Practitioner - Family in Portage, IN

Active since July 17, 2026
6050 STERLING CREEK RD, PORTAGE, IN 46368(219) 763-8112 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marylou Cervantes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLOU CERVANTES (NPI 1124948229) is an individual family provider in Portage, Indiana, licensed in Indiana (71018351A) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1124948229
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARYLOU CERVANTES
Location Address6050 STERLING CREEK RDPortage, IN 46368-7752
Mailing Address2665 Poplar StPortage, IN 46368-2940
Phone(219) 763-8112
Sole ProprietorNo
Enumeration DateJuly 17, 2026
NPPES CertifiedJuly 18, 2026
✔ NPI 1124948229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71018351A
6050 STERLING CREEK RD, Portage, IN 46368
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANA DAWNIELLE JONES MD
Obstetrics & Gynecology
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
REBECCA RUSHMORE MSW, LSW
Social Worker
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
GRETCHEN M HANEY MSN, APRN, FNP-BC
Family Medicine
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
JESSICA ROSE BALDWIN NP
Registered Nurse (Women's Health Care, Ambulatory)
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
DR. FRANK X WEILNHAMMER M.D.
Family Medicine
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
AUDREY SIMONE DAWSON OD
Optometrist
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
DR. DANIEL RALEIGH DEWAR D.C.
Chiropractor
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112
DR. MICHAEL ANTHONY VILLANUEVA DC
Chiropractor
6050 STERLING CREEK RD
PORTAGE, IN 46368
Porter County (219) 763-8112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marylou Cervantes's NPI number?

The NPI number for Marylou Cervantes is 1124948229. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Where is Marylou Cervantes located?

Marylou Cervantes practices at 6050 Sterling Creek Rd, Portage, IN 46368. The listed phone number is (219) 763-8112.

What is Marylou Cervantes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Marylou Cervantes was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.