Marissa Bottos, FNP, APRN in La Porte, IN - Medicare Nurse Practitioner

Marissa Bottos, FNP, APRN is a medicare enrolled "Nurse Practitioner - Family" in La Porte, Indiana. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice La Porte Clinic Company Llc, Chesterton Physical Therapy Inc, Dalal Medical Corporation and her current practice location is 1331 State St # 340, La Porte, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 324-0875.

Marissa Bottos is licensed to practice in Indiana (license number 71009430A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1639720972.

Contact Information

	Marissa Bottos, FNP, APRN
	1331 State St # 340, La Porte, IN 46350-3112
	(219) 324-0875
	(219) 324-0827

Map and Direction

Provider's Profile

Full Name	Marissa Bottos
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1331 State St # 340, La Porte, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marissa Bottos graduated from nursing school in 2019

NPI Data:

NPI Number: 1639720972
Provider Enumeration Date: 09/27/2019
Last Update Date: 03/19/2026

Medicare PECOS Information:

PECOS PAC ID: 5698107555
Enrollment ID: I20191114000477

Medical Identifiers

Medical identifiers for Marissa Bottos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639720972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71009430A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Hospitals Inc	Gary, IN	Hospital
Franciscan Health Munster	Munster, IN	Hospital
Community Hospital	Munster, IN	Hospital
La Porte Hospital	La porte, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
La Porte Clinic Company Llc	0446558357	68
Chesterton Physical Therapy Inc	3173683984	194
Dalal Medical Corporation	8527128503	9

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. Marissa Bottos allows following entities to bill medicare on her behalf.

Entity Name	The Methodist Hospitals Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720290349 PECOS PAC ID: 9638063894 Enrollment ID: O20040210000526

Entity Name	Dalal Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720024615 PECOS PAC ID: 8527128503 Enrollment ID: O20081120000476

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. Marissa Bottos 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 Address	Practice Location Address
Marissa Bottos, FNP, APRN 1331 State St # 340, La Porte, IN 46350-3112 Ph: (219) 324-0875	Marissa Bottos, FNP, APRN 1331 State St # 340, La Porte, IN 46350-3112 Ph: (219) 324-0875

Reviews and Comments

Nurse Practitioner Nurses in La Porte, IN

Mrs. Jennifer Campbell, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1509 State Street, La Porte, IN 46350 Phone: 219-324-3431 Fax: 219-362-3802
Kimberly Minich, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 602 F St, La Porte, IN 46350 Phone: 219-324-1377
Fabienne Fify, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 I St, La Porte, IN 46350 Phone: 708-288-5036
April Donald, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246
Mrs. Tina Marie Pierce, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 Lincolnway Pl Ste 8, La Porte, IN 46350 Phone: 219-393-9072 Fax: 219-325-0855
Diane E Spoljoric, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6916 W Johnson Rd, La Porte, IN 46350 Phone: 219-326-7337 Fax: 219-814-4228
Wendy Renee Dutcher, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Teegarden St, La Porte, IN 46350 Phone: 219-326-0043 Fax: 219-326-8909

Marissa Bottos, FNP, APRN - Medicare Nurse Practitioner in La Porte, IN