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1043982010

NPI Code Detail

MEDICARE: ROXANNE BIELAK NP

MEDICARE: ROXANNE BIELAK NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2025023628	MO
2	363L00000X	Nurse Practitioner	71011745A	IN
3	163W00000X	Registered Nurse	28255541A	IN
4	207Q00000X	Family Medicine Physician	4853-0	HI
5	207Q00000X	Family Medicine Physician	228550	AK
6	207Q00000X	Family Medicine Physician	95033449	CA
7	207Q00000X	Family Medicine Physician	57725	WY
8	207Q00000X	Family Medicine Physician	81154	NM
9	207Q00000X	Family Medicine Physician	14130605-4405	UT
10	207Q00000X	Family Medicine Physician	12770	MN
11	207Q00000X	Family Medicine Physician	10031475	OR
12	207Q00000X	Family Medicine Physician	AP61602986	WA
13	207Q00000X	Family Medicine Physician	209030892	IL
14	207Q00000X	Family Medicine Physician	316539	AZ
15	207Q00000X	Family Medicine Physician	243693	MT

General Provider Information

NPI Number	:	1043982010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROXANNE BIELAK NP

Provider Business Mailing Address
First Line	:	85 E US HIGHWAY 6
Second Line	:
City	:	VALPARAISO
State	:	IN
Zip	:	46383-8947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1466 W OAK ST
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-1800
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2021
Last Update Date	:	04/10/2026

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Directions to “ ROXANNE BIELAK NP” Practice Location

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