Chimi Nusbaum, NP in Mishawaka, IN - Medicare Nurse Practitioner

Chimi Nusbaum, NP is a medicare enrolled "Nurse Practitioner" in Mishawaka, Indiana. Her current practice location is 5215 Holy Cross Pkwy, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 335-5000.

Chimi Nusbaum is licensed to practice in Indiana (license number 71005652A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265809321.

Contact Information

	Chimi Nusbaum, NP
	5215 Holy Cross Pkwy, Mishawaka, IN 46545
	(574) 335-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Chimi Nusbaum
Gender	Female
Speciality	Nurse Practitioner
Location	5215 Holy Cross Pkwy, Mishawaka, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265809321
Provider Enumeration Date: 08/25/2015
Last Update Date: 03/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1153638762
Enrollment ID: I20150915001456

Medical Identifiers

Medical identifiers for Chimi Nusbaum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265809321	NPI	-	NPPES
P02078333	Other	IN	MEDICARE RAIDROAD
201316100	Medicaid	IN
000000959681	Other	IN	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71005652A (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. Chimi Nusbaum allows following entities to bill medicare on her behalf.

Entity Name	Parkview Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130952 PECOS PAC ID: 2163336967 Enrollment ID: O20031117000288

Entity Name	Saint Joseph Regional Medical Center-south Bend Campus Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841245594 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724

Entity Name	Lutheran Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164662805 PECOS PAC ID: 4981751617 Enrollment ID: O20090414000705

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. Chimi Nusbaum 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
Chimi Nusbaum, NP 707 Cedar St Ste 405, South Bend, IN 46617-2059 Ph: (574) 335-8707	Chimi Nusbaum, NP 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Ph: (574) 335-5000

Reviews and Comments

Nurse Practitioner Nurses in Mishawaka, IN

Kyla M Schauss, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 413 W Mckinley Ave Ste D, Mishawaka, IN 46545 Phone: 574-282-3230 Fax: 574-282-3240
Teresa Marie Dobrzykowski, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 316 Indian Ridge Blvd, Mishawaka, IN 46545 Phone: 800-635-5516
Amy Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5215 Holy Cross Pkwy, Mishawaka, IN 46545 Phone: 574-335-5000
Mrs. Oluyinka Grace Osunnuga, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1540 Trinity Pl, Mishawaka, IN 46545 Phone: 765-674-3321
Shea Lee Warner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 231 W Day Rd, Mishawaka, IN 46545 Phone: 574-335-4700
Mrs. Blair Renee Herrman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 524 E Mckinley Ave, Mishawaka, IN 46545 Phone: 574-256-2556
Juanita Marie Roberts, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1625 E Jefferson Blvd, Mishawaka, IN 46545 Phone: 574-255-1400

Chimi Nusbaum, NP - Medicare Nurse Practitioner in Mishawaka, IN