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

Micah Driscoll

Individual provider Registered Nurse · NPI 1609567957

Micah Driscoll is a Nurse Practitioner in Valparaiso, Indiana. Qualified in 2023, 3 years ago. Practices with Porter-Starke Services Inc, a 44-clinician group and accepts Medicare assignment. Licensed in Indiana and Minnesota.

Years since qualifying
3
Licensed in
IN, MN
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

601 Wall St
Valparaiso, IN 46383-2512
Phone: (219) 531-3500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71014117A (IN)
Registered Nurse Taxonomy 163W00000X · Licence R220189-4 (MN)
Registered Nurse Taxonomy 163W00000X · Licence 28235293A (IN)

Record details

NPI number1609567957
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 17, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address601 Wall St, Valparaiso, IN 46383-2512

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Porter-Starke Services Inc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valparaiso