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PROACTIVE MD
NPI 1689127474
Clinic/Center - Primary Care in Valparaiso, IN

Active since July 27, 2016CLIA Certified · 3 labs
2801 BERTHOLET BLVD STE 201, VALPARAISO, IN 46383(844) 458-2800 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Proactive Md NPPES

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

PROACTIVE MD (NPI 1689127474), doing business as Proactive Md Valpo Health Center, is a healthcare organization registered as a primary care in Valparaiso, Indiana and active in the NPI registry since July 2016. The organization holds 3 active CLIA laboratory certificates and lists Jan Hopkins, Assoc. Ops Mgr, as its authorized official.

NPPES Registry Identity

NPI1689127474
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MSO, LLC
Location Address2801 BERTHOLET BLVD STE 201Valparaiso, IN 46383-7959
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Phone(844) 458-2800
Organization SubpartNo
Authorized OfficialJan HopkinsAssoc. Ops Mgr · (864) 501-0751
Enumeration DateJuly 27, 2016
Last NPPES UpdateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
✔ NPI 1689127474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2801 BERTHOLET BLVD STE 201, Valparaiso, IN 46383
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Other Names 2

Other NameProactive Md
Doing Business AsProactive Md Valpo Health Center

CLIA Laboratory Certificates CMS CLIA 3

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 15D2090364

Proactive MD Valparaiso Health Center · Valparaiso, IN
Active · expires Jan 21, 2027
CLIA Number15D2090364
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorKaren Cercone
Laboratory Phone(844) 458-2800
Laboratory LocationProactive MD Valparaiso Health Center2801 Bertholet Blvd Ste 201, Valparaiso, IN 46383
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2107602

Proactive MD Merrillville Health Center · Merrillville, IN
Active · expires Jan 18, 2028
CLIA Number15D2107602
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorVanessa Silverio
Laboratory Phone(844) 458-2800
Laboratory LocationProactive MD Merrillville Health Center387 E 84th Drive, Merrillville, IN 46410
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 15D2090368

Proactive MD Knox Health Center · Knox, IN
Active · expires Jan 21, 2027
CLIA Number15D2090368
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 22, 2025
Certificate Expiration DateJanuary 21, 2027
Laboratory DirectorJessica Glinski
Laboratory Phone(844) 458-2800
Laboratory LocationProactive MD Knox Health Center307 Carlson Dr, Knox, IN 46534
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. BLAKE HANSEN DNP, FNP-C
Nurse Practitioner (Family)
2801 BERTHOLET BLVD STE 201
VALPARAISO, IN 46383
Porter County (844) 458-2800

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 Proactive Mso, LLC's NPI number?

The NPI number for Proactive Mso, LLC is 1689127474. It was assigned to this organization in the NPPES registry on July 27, 2016. The provider is doing business as Proactive MD Valpo Health Center. The provider is also known as Proactive MD.

Where is Proactive Mso, LLC located?

Proactive Mso, LLC is located at 2801 Bertholet Blvd Ste 201, Valparaiso, IN 46383. The listed phone number is (844) 458-2800.

What is Proactive Mso, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Proactive Mso, LLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Proactive Mso, LLC was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.