PREMISE HEALTH OF INDIANA MEDICAL PC
NPI 1801167879
Clinic/Center - Primary Care in Notre Dame, IN

Active since January 23, 2012CLIA 15D2041614 · Waiver
100 WELLNESS CENTER, UNIVERSITY OF NOTRE DAME, NOTRE DAME, IN 46556(574) 634-9355(574) 631-3377 Get Directions Write a Review

NPPES record last updated: February 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 25, 2022, Feb 18, 2020 (2 updates tracked since 2020).

About Premise Health Of Indiana Medical Pc NPPES

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

PREMISE HEALTH OF INDIANA MEDICAL PC (NPI 1801167879), doing business as Notre Dame Wellness Center, is a healthcare organization registered as a primary care in Notre Dame, Indiana and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through May 24, 2028 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1801167879
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePREMISE HEALTH OF INDIANA MEDICAL PC
Location Address100 WELLNESS CENTER, UNIVERSITY OF NOTRE DAMENotre Dame, IN 46556-3600
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Fax(574) 631-3377
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateJanuary 23, 2012
Last NPPES UpdateFebruary 18, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2026
✔ NPI 1801167879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
100 WELLNESS CENTER, Notre Dame, IN 46556

Other Names 1

Doing Business AsNotre Dame Wellness Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premise Health Of Indiana Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to Premise Health Of Indiana Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner11
Family Practice2
Chiropractic1
Physical Therapist in Private Practice1

Clinicians, nearest first (15)

Nurse Practitioner
NPI 1558792382
6913 N MAIN ST
Granger, IN 46530
(574) 647-1500
✔ PECOS✔ Accepts Medicare3.9 mi
Family Practice
NPI 1568596435
11161 RANDOLPH ST
Crown Point, IN 46307
(219) 662-9424
✔ PECOS✔ Accepts Medicare55 mi
Physical Therapist in Private Practice
NPI 1710930011
8691 CONNECTICUT ST STE C
Merrillville, IN 46410
(219) 525-4176
✔ Accepts Medicare59 mi
Family Practice
NPI 1396859641
8900 BROADWAY
Merrillville, IN 46410
(219) 525-1150
✔ PECOS✔ Accepts Medicare59 mi
Nurse Practitioner
NPI 1912614538
5521 W LINCOLN HWY STE 1A
Crown Point, IN 46307
(219) 769-1362
✔ PECOS✔ Accepts Medicare62 mi
Nurse Practitioner
NPI 1881114767
4321 FIR ST
East Chicago, IN 46312
(219) 765-0597
✔ PECOS62 mi
Nurse Practitioner
NPI 1598996589
3100 45TH ST
Highland, IN 46322
(219) 922-6099
✔ PECOS✔ Accepts Medicare63 mi
Nurse Practitioner
NPI 1396373551
8437 KENNEDY AVE
Highland, IN 46322
(219) 237-2079
✔ PECOS✔ Accepts Medicare63 mi
Nurse Practitioner
NPI 1104649367
8938 BRANTON AVE
Highland, IN 46322
(773) 683-7153
✔ PECOS✔ Accepts Medicare64 mi
Nurse Practitioner
NPI 1770657959
505 WEST US HIGHWAY 30
Schererville, IN 46375
(219) 322-3311
✔ PECOS✔ Accepts Medicare65 mi
Nurse Practitioner
NPI 1700310950
777 CASINO CENTER DR
Hammond, IN 46320
(219) 473-6100
✔ PECOS65 mi
Nurse Practitioner
NPI 1205243524
1001 CALUMET AVE
Dyer, IN 46311
(219) 924-8178
✔ PECOS✔ Accepts Medicare65 mi
Nurse Practitioner
NPI 1578598652
7531 S STONY ISLAND AVE
Chicago, IL 60649
(773) 947-7500
✔ PECOS✔ Accepts Medicare69 mi
Nurse Practitioner
NPI 1356765085
1029 E 130TH ST
Chicago, IL 60628
(773) 995-6300
✔ PECOS✔ Accepts Medicare69 mi
Chiropractic
NPI 1710492863
1173 N COMMERCIAL AVE
Delphi, IN 46923
(765) 564-1900
82 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 15D2041614

Premise Health Of Indiana Medical, PC · Notre Dame, IN
Active · expires May 24, 2028
CLIA Number15D2041614
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorBenjamin Garman
Laboratory Phone(574) 634-9355
Laboratory LocationPremise Health Of Indiana Medical, PC100 Wellness Center, Notre Dame, IN 46556
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 Premise Health Of Indiana Medical PC's NPI number?

The NPI number for Premise Health Of Indiana Medical PC is 1801167879. It was assigned to this organization in the NPPES registry on January 23, 2012. The provider is doing business as Notre Dame Wellness Center.

Where is Premise Health Of Indiana Medical PC located?

Premise Health Of Indiana Medical PC is located at 100 Wellness Center University Of Notre Dame, Notre Dame, IN 46556. The listed phone number is (574) 634-9355.

What is Premise Health Of Indiana Medical PC's specialty?

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

Is Premise Health Of Indiana Medical PC enrolled in Medicare?

Yes. Premise Health Of Indiana Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premise Health Of Indiana Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Premise Health Of Indiana Medical PC. 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. The largest specialties are Nurse Practitioner (11), Family Practice (2) and Chiropractic (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Premise Health Of Indiana Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2041614) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of Indiana Medical PC was last updated on February 18, 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.