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

Diana Rose Poortenga

Individual provider Registered Nurse · NPI 1780207332

Diana Rose Poortenga is a Nurse Practitioner in Munster, Indiana. Qualified in 2019, 7 years ago. Practices with Midwest Express Care 4 LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2020
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Practice location Address checks out

8135 Calumet Ave
Munster, IN 46321-1701
Phone: (219) 513-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 28213590A (IN)

Record details

NPI number1780207332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 18, 2020
Last updated in NPPESMay 18, 2020
Certification dateMay 18, 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 Midwest Express Care 4 Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Munster