Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Privia Medical Group Indiana, LLC

Organization Family Nurse Practitioner · NPI 1568147809

Privia Medical Group Indiana, LLC provides Family Nurse Practitioner services in Wakarusa, Indiana. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 N Elkhart St
Wakarusa, IN 46573
Phone: (574) 296-3200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1568147809
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationElkhart Clinic, LLC
Authorized official Megan Carlson — Provider Enrollment · (574) 296-3991
Other names Elkhart Clinic Wakarusa; Elkhart Clinic Wakarusa
NPI enumeratedJune 15, 2023
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing addressPo Box 778985, Chicago, IL 60677-8985

Other providers in Wakarusa