1. Home
  2. Directory
  3. Indiana
  4. Elkhart
  5. Clinic Center
  6. NPI Profile

PRIVIA MEDICAL GROUP INDIANA, LLC
NPI 1013912286
Clinic/Center - Multi-Specialty in Elkhart, IN

Active since June 15, 2005
303 S NAPPANEE ST, ELKHART, IN 46514(574) 296-3200(574) 296-3392 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Privia Medical Group Indiana, Llc NPPES

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

PRIVIA MEDICAL GROUP INDIANA, LLC (NPI 1013912286) is a healthcare organization registered as a multi-specialty in Elkhart, Indiana and active in the NPI registry since June 2005. The organization lists Thomas Vandergrift, Chief Executive Administrator, as its authorized official.

NPPES Registry Identity

NPI1013912286
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRIVIA MEDICAL GROUP INDIANA, LLC
Location Address303 S NAPPANEE STElkhart, IN 46514-2066
Mailing AddressPo Box 778985Chicago, IL 60677-8985 · (574) 296-3200 · Fax (574) 296-3392
Phone(574) 296-3200
Fax(574) 296-3392
Organization SubpartNo
Authorized OfficialThomas VandergriftChief Executive Administrator · (574) 296-3200
Enumeration DateJune 15, 2005
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1013912286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
303 S NAPPANEE ST, Elkhart, IN 46514
Open in Google Maps ↗

Other Identifiers 2

Other0359310001IN · Dmerc Ptan
Medicaid100466600AIN

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 ›

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.

MR. GORDON M HUGHES MD
Internal Medicine (Rheumatology)
303 S NAPPANEE ST
ELKHART, IN 46514
Elkhart County (574) 296-3200
DR. BRUCE A. LOCKWITZ M.D.
Internal Medicine (Rheumatology)
303 S NAPPANEE ST
ELKHART, IN 46514
Elkhart County (574) 296-3307
DR. GEORGE COLLINS NWADIARO MD
Hospitalist
303 S NAPPANEE ST
ELKHART, IN 46514
Elkhart County (574) 296-3200
AMY VAN DE WIELLE
Nurse Practitioner (Family)
303 S NAPPANEE ST
ELKHART, IN 46514
Elkhart County (574) 296-3200
DR. MATTHEW LEE ABRELL DPM
Podiatrist
303 S NAPPANEE ST
ELKHART, IN 46514
Elkhart County (574) 296-3200
DAYNA L GERRING FNP-BC
Nurse Practitioner (Family)
303 S NAPPANEE ST
ELKHART, IN 46514
Elkhart County (574) 296-3200
ABIGAIL ANNE JOHNSON M.A.
Audiologist
303 S NAPPANEE ST
ELKHART, IN 46514
Elkhart County (574) 296-3200
DR. MINNIE S. ENRIQUEZ M.D.
Internal Medicine
303 S NAPPANEE ST
ELKHART, IN 46514
Elkhart County (574) 296-3307

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 Privia Medical Group Indiana, LLC's NPI number?

The NPI number for Privia Medical Group Indiana, LLC is 1013912286. It was assigned to this organization in the NPPES registry on June 15, 2005.

Where is Privia Medical Group Indiana, LLC located?

Privia Medical Group Indiana, LLC is located at 303 S Nappanee St, Elkhart, IN 46514. The listed phone number is (574) 296-3200.

What is Privia Medical Group Indiana, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does Privia Medical Group Indiana, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and BlueCross BlueShield of Tennessee list Privia Medical Group Indiana, LLC 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.

When was this NPI record last updated?

The NPPES record for Privia Medical Group Indiana, LLC was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.