Upstream Health & Wellness, LLC
NPI 1174082523ActiveOrganization· Nurse Practitioner, Family· Portage, IN
Nurse Practitioner, Family in Portage, Indiana, registered in NPPES in March 2019. The authorized official on file is Robin Anderson, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174082523 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2019 |
| Last updated in NPPES | Mar 10, 2021 |
| Certified by provider | Mar 10, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
Other Nurse Practitioner, Family providers in Portage
- 1801466883
- 1780012245
- 1033750831
- 1063031367
- 1174024939
- 1508411315
- 1124434584
- 1306482518
- 1124948229
- 1548997612
- 1518617059
- 1750739702