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EDNAH KWAMBOKA MAKORI NP
NPI 1013687946
Nurse Practitioner - Family in Benton Harbor, MI

Active since September 13, 2021PECOS EnrolledAccepts Medicare Assignment
756 PIPESTONE ST # 2, BENTON HARBOR, MI 49022(269) 926-8535 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ednah Kwamboka Makori Np NPPES

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

EDNAH KWAMBOKA MAKORI NP (NPI 1013687946) is an individual family provider in Benton Harbor, Michigan, licensed in Michigan (4704258890) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013687946
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDNAH KWAMBOKA MAKORICredential: NP
Location Address756 PIPESTONE ST # 2Benton Harbor, MI 49022-4845
Mailing Address332 E Napier AveBenton Harbor, MI 49022-7336 · (269) 308-2925
Phone(269) 926-8535
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 13, 2021
NPPES CertifiedAugust 19, 2021
✔ NPI 1013687946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704258890
756 PIPESTONE ST # 2, Benton Harbor, MI 49022
Open in Google Maps ↗

Other Names 1

Other Name (5)Ms. Not Applicable Not Applicable Not Applicable. Fnp

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Ednah Kwamboka Makori 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 ID4587039979
PECOS Enrollment IDI20230418000478
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

3

Medicare enrollment records show Ednah Makori reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ibekie Foundation Inc
96 mi
Family Medicine
117 E STATE ST
Morocco, IN 47963
  • Reassigned Medicare billing, Michigan enrollment
  • 4 clinicians in this Medicare group
NPI 1255870655 (219) 743-8013
Theoria Medical
138 mi
Internal Medicine
6247 GRAND RIVER RD STE 400
Brighton, MI 48114
  • Reassigned Medicare billing, Michigan enrollment
  • 383 clinicians in this Medicare group
NPI 1164186946 (810) 215-7177
Complexcare Medical Group Midwest H PLLC
155 mi
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Michigan enrollment
  • 169 clinicians in this Medicare group
NPI 1457144933 (248) 660-1220

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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
382 services73 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
354 services73 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
220 services50 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
172 services50 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
17 services17 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49022 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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

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

SACRED BLACKSTONE BIRTH ADVOCATES
Doula
756 PIPESTONE ST # 2
BENTON HARBOR, MI 49022
Berrien County (616) 315-7101

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 Ednah Makori's NPI number?

The NPI number for Ednah Makori is 1013687946. It was assigned to this individual provider in the NPPES registry on September 13, 2021. The provider is also known as Ms. Not Applicable Not Applicable Not Applicable. Fnp.

Where is Ednah Makori located?

Ednah Makori practices at 756 Pipestone St # 2, Benton Harbor, MI 49022. The listed phone number is (269) 926-8535.

What is Ednah Makori's specialty?

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

Is Ednah Makori enrolled in Medicare?

Yes. Ednah Makori 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 Ednah Makori's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ednah Makori reassigns Medicare benefits to 3 organizations: Ibekie Foundation Inc (Morocco, IN), Theoria Medical (Brighton, MI) and Complexcare Medical Group Midwest H PLLC (Novi, MI). 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 Ednah Makori's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ednah Makori accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Ednah Makori 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 Ednah Makori affiliated with any hospitals?

According to CMS data, Ednah Makori is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Ednah Makori was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.