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

Marissa Bottos, FNP, APRN

Individual provider Family Nurse Practitioner · NPI 1639720972

Marissa Bottos, FNP, APRN is a Nurse Practitioner in LA Porte, Indiana. Qualified in 2019, 7 years ago. Practices with La Porte Clinic Company LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

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Practice location Address checks out

1331 State St # 340
LA Porte, IN 46350-3112
Phone: (219) 324-0875
Fax: (219) 324-0827
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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 · Licence 71009430A (IN)

Record details

NPI number1639720972
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP , APRN
Sole proprietorNo
NPI enumeratedSeptember 27, 2019
Last updated in NPPESMarch 19, 2026
Certification dateMarch 19, 2026
Mailing address1331 State St # 340, La Porte, IN 46350-3112

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 La Porte Clinic Company Llc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in LA Porte