PRIVIA MEDICAL GROUP INDIANA, LLC
NPI 1568147809
Nurse Practitioner - Family in Wakarusa, IN

NPI Status: Active since June 15, 2023

Contact Information

100 N. ELKHART ST
WAKARUSA, IN
ZIP 46573
Phone: (574) 296-3200

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  • Organization
  • Nurse Practitioner
  • Family

About PRIVIA MEDICAL GROUP INDIANA, LLC

This page provides the complete NPI Profile along with additional information for Privia Medical Group Indiana, Llc, a provider established in Wakarusa, Indiana operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1568147809 assigned on June 2023. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Privia Medical Group Indiana, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's . The authorized official of this NPI record is Megan Leigh Carlson (Provider Enrollment)

NPI
1568147809
Provider Legal Name
PRIVIA MEDICAL GROUP INDIANA, LLC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
100 N. ELKHART ST WAKARUSA, IN 46573
Location Phone
(574) 296-3200
Mailing Address
PO BOX 778985 CHICAGO, IL 60677
Mailing Phone
(574) 296-3390
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-15-2023
Last Update Date
05-12-2025
Code Navigator

A nurse practitioner (NP) like Privia Medical Group Indiana, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MEGAN LEIGH CARLSON

Authorized Official Title
PROVIDER ENROLLMENT
Authorized Official Phone
(574) 296-3991

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568147809, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
4
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 1 → 2 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 2 + 4 + 1 + 4 + 8 + 0 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1568147809.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568147809, enumerated as an "organization" on June 15, 2023.

The provider is located at 100 N. ELKHART ST WAKARUSA, IN 46573 and the phone number is (574) 296-3200.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.