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ELIZABETH W MAINA NP
NPI 1013505668
Nurse Practitioner - Family in Elkhart, IN

Active since January 08, 2021PECOS EnrolledAccepts Medicare Assignment
236 SIMPSON AVE, ELKHART, IN 46516(574) 293-0052 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elizabeth W Maina Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH W MAINA NP (NPI 1013505668) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71010710A) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Goshen Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013505668
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH W MAINACredential: NP
Location Address236 SIMPSON AVEElkhart, IN 46516-4666
Mailing Address236 Simpson AveElkhart, IN 46516-4666 · (574) 293-0052
Phone(574) 293-0052
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 8, 2021
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
✔ NPI 1013505668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71010710A
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 28198875A (IN)
236 SIMPSON AVE, Elkhart, IN 46516
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth W Maina Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315351251
PECOS Enrollment IDI20210204000438
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

6

Medicare enrollment records show Elizabeth Maina reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthlinc, Inc
Same address
Community Health
236 SIMPSON AVE
Elkhart, IN 46516
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Heart City Health Center Inc
  • 46 clinicians in this Medicare group
NPI 1720033418 (574) 970-1435
Apogee Medical Group Indiana PC
11 mi
Internal Medicine
200 HIGH PARK AVE
Goshen, IN 46526
  • Reassigned Medicare billing, Indiana enrollment
  • 172 clinicians in this Medicare group
NPI 1093973885 (574) 364-2510
Galen Inpatient Physicians PC
12 mi
Hospitalist
5215 HOLY CROSS PKWY
Mishawaka, IN 46545
  • Reassigned Medicare billing, Indiana enrollment
  • 228 clinicians in this Medicare group
NPI 1528885951 (574) 335-2443
Saint Joseph Regional Medical Center- Plymouth Campus Inc
32 mi
Family Medicine
1919 LAKE AVE STE 102B
Plymouth, IN 46563
  • Reassigned Medicare billing, Indiana enrollment
  • 73 clinicians in this Medicare group
NPI 1538585187 (574) 335-6800
Concord Medical Group Of Kentucky PLLC
272 mi
Emergency Medicine
1011 OLD HIGHWAY 60
Hardinsburg, KY 40143
  • Reassigned Medicare billing, Indiana enrollment
  • 67 clinicians in this Medicare group
NPI 1346746385 (270) 756-7000
Concord Company Of Tennessee PLLC
292 mi
Emergency Medicine
910 WALLACE AVE
Leitchfield, KY 42754
  • Reassigned Medicare billing, Indiana enrollment
  • 77 clinicians in this Medicare group
NPI 1649743667 (270) 256-9400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
73 services71 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services16 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEART CITY HEALTH CENTER PHARMACY
Clinic/Center (Community Health)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 970-1441
ALI A MAHAMAT MASTER OF PSYCHOLOGY
Psychologist (Intellectual and Developmental Disabilities)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-3786
DR. ALISON RAE ROBERTSON D.D.S.
Dentist
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 970-1937
MR. KENNETH SCOTT BETHEL RN, FNP
Nurse Practitioner (Family)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052
ADAM ROBERT PEILA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052
MEGAN SALYER MSN, RN, FNP-BC
Nurse Practitioner (Family)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052
MR. TERRANCE POINDEXTER LCSW
Social Worker (Clinical)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052
MR. WILLARD KEITH CUPP III PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Maina's NPI number?

The NPI number for Elizabeth Maina is 1013505668. It was assigned to this individual provider in the NPPES registry on January 8, 2021.

Where is Elizabeth Maina located?

Elizabeth Maina practices at 236 Simpson Ave, Elkhart, IN 46516. The listed phone number is (574) 293-0052.

What is Elizabeth Maina's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Maina enrolled in Medicare?

Yes. Elizabeth Maina is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elizabeth Maina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Maina reassigns Medicare benefits to 6 organizations: Healthlinc, Inc (Elkhart, IN), Apogee Medical Group Indiana PC (Goshen, IN), Galen Inpatient Physicians PC (Mishawaka, IN), Saint Joseph Regional Medical Center- Plymouth Campus Inc (Plymouth, IN), Concord Medical Group Of Kentucky PLLC (Hardinsburg, KY) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elizabeth Maina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Maina accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Elizabeth Maina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elizabeth Maina affiliated with any hospitals?

According to CMS data, Elizabeth Maina is affiliated with Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Maina was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.