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

Chad Anthony Bogue, NP

Individual provider School Nurse Practitioner · NPI 1508411315

Chad Anthony Bogue, NP is a Nurse Practitioner in Portage, Indiana. Qualified in 2019, 7 years ago. Practices with Porter Physician Services LLC, a 96-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

3630 Willowcreek Rd
Portage, IN 46368-5075
Phone: (219) 364-3700
Fax: (219) 759-1197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3125 Willowcreek Rd, Portage, IN 46368-4423 — (219) 762-3175
  • 2000 Roosevelt Rd Ste 104, Valparaiso, IN 46383-2801 — (219) 395-3040

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009590A (IN)
School Nurse Practitioner Taxonomy 363LS0200X · Licence 28163831A (IN)

Record details

NPI number1508411315
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 8, 2019
Last updated in NPPESSeptember 10, 2020
Certification dateSeptember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Porter Physician Services Llc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare