BOLSTER WELLNESS LLC
NPI 1306633904
Nurse Practitioner - Psychiatric/Mental Health in Rockport, IN

Active since April 24, 2025
928 SYCAMORE ST, ROCKPORT, IN 47635(812) 408-3265(812) 780-2730 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bolster Wellness Llc NPPES

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

BOLSTER WELLNESS LLC (NPI 1306633904) is a healthcare organization registered as a psychiatric/mental health in Rockport, Indiana and active in the NPI registry since April 2025. The organization maintains a secondary practice location in Grandview and lists Justin Lee Grose, Owner, as its authorized official.

NPPES Registry Identity

NPI1306633904
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameBOLSTER WELLNESS LLC
Location Address928 SYCAMORE STRockport, IN 47635-9283
Mailing Address221 Main StGrandview, IN 47615-9469 · (812) 408-3265 · Fax (812) 780-2730
Fax(812) 780-2730
Organization SubpartNo
Authorized OfficialJustin Lee GroseOwner · (812) 408-3265
Enumeration DateApril 24, 2025
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 30, 2025
NPI 1306633904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
928 SYCAMORE ST, Rockport, IN 47635

Secondary Practice Location 1

Location 1221 Main StGrandview, IN 47615-9469 · Phone (812) 408-3265 · Fax (812) 780-2730

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
928 SYCAMORE ST
ROCKPORT, IN 47635
Social Worker (Clinical)
928 SYCAMORE ST
ROCKPORT, IN 47635
Nurse Practitioner (Psychiatric/Mental Health)
928 SYCAMORE ST
ROCKPORT, IN 47635
Social Worker (Clinical)
928 SYCAMORE ST
ROCKPORT, IN 47635
Social Worker (Clinical)
928 SYCAMORE ST
ROCKPORT, IN 47635

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 Bolster Wellness LLC's NPI number?

The NPI number for Bolster Wellness LLC is 1306633904. It was assigned to this organization in the NPPES registry on April 24, 2025.

Where is Bolster Wellness LLC located?

Bolster Wellness LLC is located at 928 Sycamore St, Rockport, IN 47635. The listed phone number is (812) 408-3265.

What is Bolster Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Bolster Wellness LLC was last updated on May 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.