FLOURISH HEALTH GROUP IN LLC
NPI 1467168252
Clinic/Center - Multi-Specialty in Dyer, IN

Active since January 25, 2023CLIA 15D2291159 · Waiver
1160 JOLIET ST STE 204, DYER, IN 46311(212) 300-7308(212) 300-7308 Get Directions Write a Review

NPPES record last updated: February 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2026, Dec 17, 2025, Jan 25, 2023 (3 updates tracked since 2023).

About Flourish Health Group In Llc NPPES

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

FLOURISH HEALTH GROUP IN LLC (NPI 1467168252) is a healthcare organization registered as a multi-specialty in Dyer, Indiana and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through October 4, 2027, maintains 3 additional practice locations, and lists Alex Pavicevic, Manager, as its authorized official.

NPPES Registry Identity

NPI1467168252
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameFLOURISH HEALTH GROUP IN LLC
Location Address1160 JOLIET ST STE 204Dyer, IN 46311-3000
Mailing Address1160 Joliet St Ste 204Dyer, IN 46311-3000 · (212) 300-7308 · Fax (212) 300-7308
Fax(212) 300-7308
Organization SubpartNo
Authorized OfficialAlex PavicevicManager · (212) 300-7308
Enumeration DateJanuary 25, 2023
Last NPPES UpdateFebruary 6, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2026
✔ NPI 1467168252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
1160 JOLIET ST STE 204, Dyer, IN 46311

Secondary Practice Locations 3

Location 1305 W University DrMishawaka, IN 46545-1100 · Phone (855) 553-2273
Location 27403 COLDWATER RDFORT WAYNE, IN 46825-3401 · Phone (725) 272-2273
Location 38081 Randolph St Ste AHobart, IN 46342-7068 · Phone (800) 799-2273

Accepted 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)

Flourish Health Group In Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Flourish Health Group In LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pathology
NPI 1629248711
1160 JOLIET ST STE 204
Dyer, IN 46311
(800) 799-2273
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023675642
5130 SALEM AVE
Trotwood, OH 45426
(937) 529-4443
✔ PECOS✔ Accepts Medicare205 mi

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

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 15D2291159

Flourish Health Group · Dyer, IN
Active · expires Oct 4, 2027
CLIA Number15D2291159
Laboratory TypeAmbulatory Infusion Cente
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorAshley Obannon
Laboratory Phone(800) 799-2273
Laboratory LocationFlourish Health Group1160 Joliet Street, Suite 204, Dyer, IN 46311
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Flourish Health Group In LLC's NPI number?

The NPI number for Flourish Health Group In LLC is 1467168252. It was assigned to this organization in the NPPES registry on January 25, 2023.

Where is Flourish Health Group In LLC located?

Flourish Health Group In LLC is located at 1160 Joliet St Ste 204, Dyer, IN 46311. The listed phone number is (212) 300-7308.

What is Flourish Health Group In LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Flourish Health Group In LLC enrolled in Medicare?

Yes. Flourish Health Group In LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Flourish Health Group In LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Flourish Health Group In LLC, in Nurse Practitioner and Pathology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Flourish Health Group In LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2291159) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Flourish Health Group In LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Flourish Health Group In 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 Flourish Health Group In LLC was last updated on February 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.