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

Marlee R Pratt, FNP

Individual provider Family Nurse Practitioner · NPI 1225461585

Marlee R Pratt, FNP is a Nurse Practitioner in Portage, Indiana. Qualified in 2013, 13 years ago. Practices with Illinois Dermatology Institute, LLC, a 50-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
13
Licensed in
IN
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3190 Lancer St
Portage, IN 46368-4488
Phone: (219) 764-3600
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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 71004615A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28164906A (IN)

Record details

NPI number1225461585
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedAugust 9, 2013
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Illinois Dermatology Institute, Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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