Dale Poortenga, FNP - Medicare Nurse Practitioner in Hammond, IN

  1. Home
  2. Nurse Practitioner
  3. IN
  4. Hammond
Dale Poortenga, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hammond, Indiana. His current practice location is Midwest Express Clinic, 31 Sibley St Ste A, Hammond, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 802-8800.

Dale Poortenga is licensed to practice in Indiana (license number 71016085A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265248504.

Contact Information

Dale Poortenga, FNP
Midwest Express Clinic, 31 Sibley St Ste A,
Hammond, IN 46320
(219) 802-8800
Not Available

Map and Direction




Provider's Profile

Full NameDale Poortenga
GenderMale
SpecialityNurse Practitioner - Family
LocationMidwest Express Clinic, Hammond, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265248504
  • Provider Enumeration Date: 12/10/2024
  • Last Update Date: 12/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6608303136
  • Enrollment ID: I20241223002179

Medical Identifiers

Medical identifiers for Dale Poortenga such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265248504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71016085A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dale Poortenga allows following entities to bill medicare on his behalf.
Entity NameNwi Urgent Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043596703
PECOS PAC ID: 7618142977
Enrollment ID: O20111214000990
Entity NameMidwest Express Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942642848
PECOS PAC ID: 5193957595
Enrollment ID: O20140417002077
Entity NameMidwest Express Care 4 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629502810
PECOS PAC ID: 4284909615
Enrollment ID: O20180131001651

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dale Poortenga is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dale Poortenga, FNP
Midwest Express Clinic, 31 Sibley St Ste A,
Hammond, IN 46320

Ph: (219) 802-8800		Dale Poortenga, FNP
Midwest Express Clinic, 31 Sibley St Ste A,
Hammond, IN 46320

Ph: (219) 802-8800

Reviews and Comments


Nurse Practitioner Nurses in Hammond, IN

Amanda Vagelatos, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2250 173rd St, Hammond, IN 46323
Phone: 765-494-0111    
Tamika Banks, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5818 Columbia Ave, Hammond, IN 46320
Phone: 219-261-5451    
Mrs. Breanna Marie Matheny, MSN FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1009 5th Ave, Hammond, IN 46320
Phone: 219-473-0722    
Miyako S Streeter, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 Sibley St Ste A, Hammond, IN 46320
Phone: 219-802-8800    
Kristen Karanovic, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 Sibley St Ste A, Hammond, IN 46320
Phone: 219-802-8800    
Dana Joy Hiskes, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 31 Sibley St Ste A, Hammond, IN 46320
Phone: 219-802-8800    Fax: 219-802-8801

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.