Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Privia Medical Group Indiana, LLC

Organization Family Nurse Practitioner · NPI 1568147809

Privia Medical Group Indiana, LLC is a Family Nurse Practitioner 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