1. Home
  2. Directory
  3. Indiana
  4. Portage
  5. Nurse Practitioner
  6. NPI Profile

UPSTREAM HEALTH & WELLNESS, LLC
NPI 1174082523
Nurse Practitioner - Family in Portage, IN

Active since March 15, 2019
3207 WILLOWCREEK RD STE A, PORTAGE, IN 46368(219) 763-3636(219) 764-2479 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2021, Dec 8, 2020, Mar 15, 2019 (3 updates tracked since 2019).

About Upstream Health & Wellness, Llc NPPES

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

UPSTREAM HEALTH & WELLNESS, LLC (NPI 1174082523) is a healthcare organization registered as a family in Portage, Indiana and active in the NPI registry since March 2019. The organization lists Robin Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1174082523
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameUPSTREAM HEALTH & WELLNESS, LLC
Location Address3207 WILLOWCREEK RD STE APortage, IN 46368-5013
Mailing Address3207 Willowcreek Rd Ste APortage, IN 46368-5013 · (219) 763-3636 · Fax (219) 764-2479
Phone(219) 763-3636
Fax(219) 764-2479
Organization SubpartNo
Authorized OfficialRobin AndersonOwner · (219) 763-3636
Enumeration DateMarch 15, 2019
Last NPPES UpdateMarch 10, 20213 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
✔ NPI 1174082523 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
3207 WILLOWCREEK RD STE A, Portage, IN 46368
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2187964

Upstream Health And Wellness · Portage, IN
Expired · Jul 9, 2026
CLIA Number15D2187964
Laboratory TypePractitioner Other
Certificate Effective DateJuly 10, 2024
Certificate Expiration DateJuly 9, 2026
Laboratory DirectorRobin M. Anderson
Laboratory Phone(219) 763-3636
Laboratory LocationUpstream Health And Wellness3207 Willowcreek Road Suite A, Portage, IN 46368
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

MRS. SAMANTHA HUNTER NP
Nurse Practitioner (Family)
3207 WILLOWCREEK RD STE A
PORTAGE, IN 46368
Porter County (219) 763-3636
ROBIN ANDERSON NP-C
Nurse Practitioner (Family)
3207 WILLOWCREEK RD STE A
PORTAGE, IN 46368
Porter County (219) 763-3636

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 Upstream Health & Wellness, LLC's NPI number?

The NPI number for Upstream Health & Wellness, LLC is 1174082523. It was assigned to this organization in the NPPES registry on March 15, 2019.

Where is Upstream Health & Wellness, LLC located?

Upstream Health & Wellness, LLC is located at 3207 Willowcreek Rd Ste A, Portage, IN 46368. The listed phone number is (219) 763-3636.

What is Upstream Health & Wellness, LLC's specialty?

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

What insurance does Upstream Health & Wellness, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Upstream Health & Wellness, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Upstream Health & Wellness, LLC was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.