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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: October 25, 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
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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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Upstream Health & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Upstream Health & Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Robin Anderson, NP-C
Nurse Practitioner
NPI 1780012245
3207 WILLOWCREEK RD STE A
Portage, IN 46368
(219) 763-3636
✔ PECOS✔ Accepts MedicareSame address
Alexandria Molaro
Nurse Practitioner
NPI 1184213829
1805 CALUMET AVE
Valparaiso, IN 46383
(866) 389-2727
✔ PECOS✔ Accepts Medicare8.5 mi
Jessica Mercado, NP-C
Nurse Practitioner
NPI 1811753320
8840 CALUMET AVE STE 103
Munster, IN 46321
(219) 836-7246
✔ PECOS✔ Accepts Medicare17 mi
Cashawn Springer, NP
Nurse Practitioner
NPI 1669291761
1225 E COOLSPRING AVE STE 2B
Michigan City, IN 46360
(219) 878-5029
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Upstream Health & Wellness, LLC enrolled in Medicare?

Yes. Upstream Health & Wellness, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Upstream Health & Wellness, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Upstream Health & Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Upstream Health & Wellness, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield 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.