MS. CECILIA MUMBI MAINA FNP
NPI 1023640117
Nurse Practitioner - Family in Elkhart, IN

Q: What is Cecilia Maina's NPI number?

The NPI number for Cecilia Maina is 1023640117. It was assigned to this individual provider in the NPPES registry on February 7, 2020.

Q: What is Cecilia Maina's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Cecilia Maina was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 07, 2020PECOS EnrolledAccepts Medicare Assignment

600 EAST BLVD 4TH FLOOR HOSPITALISTS STE, ELKHART, IN 46514(574) 389-7393(574) 647-1094 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 10, 2026, May 1, 2024, Apr 13, 2020 and 1 more (4 updates tracked since 2020).

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About Ms. Cecilia Mumbi Maina Fnp NPPES

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

MS. CECILIA MUMBI MAINA FNP (NPI 1023640117) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71009953A) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023640117

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. CECILIA MUMBI MAINACredential: FNP

Location Address600 EAST BLVD 4TH FLOOR HOSPITALISTS STEElkhart, IN 46514-2483

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725

Phone(574) 389-7393

Fax(574) 647-1094

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateFebruary 7, 2020

Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1023640117 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 IN · 71009953A

600 EAST BLVD 4TH FLOOR HOSPITALISTS STE, Elkhart, IN 46514

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Ms. Cecilia Mumbi Maina Fnp 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 ID6709206253

PECOS Enrollment IDI20201021003003

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

Medicare enrollment records show Cecilia Maina reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beacon Medical Group Inc

Same address

Anesthesiology

600 EAST BLVD
Elkhart, IN 46514

Reassigned Medicare billing, Indiana enrollment
734 clinicians in this Medicare group

NPI 1437803285 (574) 524-8130

Healthlinc, Inc

2.5 mi

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

12 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

Concord Medical Group Of Kentucky PLLC

271 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

291 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 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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

42 services26 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

18 services18 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.

17 services13 patients

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.

16 services16 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

15 services12 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.

14 services14 patients

Hospital Affiliations CMS Care Compare

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150018

Location600 E BlvdElkhart, IN 46514 · Elkhart County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

26%134 patients2/55-star benchmark: 93%

Cervical Cancer Screening

47%292 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

30%214 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

23%260 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

72%212 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

16%125 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

22%125 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%902 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

45%49 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

53%594 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

50%448 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

44%568 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 49% · 474 patients

Patients screened: 57% · 474 patients

54%76 patients3/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

87%139 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 57 patients

Patients totalRate: 19% · 57 patients

19%57 patients3/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 13

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

SHAHEER ZAHID MD

Hospitalist