Upstream Health & Wellness, LLC
NPI 1174082523 · Family Nurse Practitioner · Portage, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Upstream Health & Wellness, LLC is a Family Nurse Practitioner organization in Portage, IN (NPI 1174082523).
Provider details
- NPI number
- 1174082523
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Robin Anderson, Owner(219) 763-3636
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-03-15
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Frequently asked questions
- What is Upstream Health & Wellness, LLC's NPI number?
- Upstream Health & Wellness, LLC's National Provider Identifier (NPI) is 1174082523, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upstream Health & Wellness, LLC?
- Upstream Health & Wellness, LLC is classified in the NPPES registry as Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Upstream Health & Wellness, LLC located?
- Upstream Health & Wellness, LLC's practice location on file with NPPES is 3207 Willowcreek Rd Ste a, Portage, IN 46368-5013.
- What is Upstream Health & Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Upstream Health & Wellness, LLC is (219) 763-3636.
- Does Upstream Health & Wellness, LLC accept Medicare?
- Upstream Health & Wellness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Upstream Health & Wellness, LLC?
- The authorized official listed on Upstream Health & Wellness, LLC's NPPES record is Robin Anderson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upstream Health & Wellness, LLC's NPI active?
- Yes — Upstream Health & Wellness, LLC's NPI (1174082523) is active in the NPPES registry as of the last update on 2021-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.