NORTHERN INDIANA ANESTHESIA ASSOCIATES, LLC
NPI 1033891510
Nurse Anesthetist, Certified Registered in South Bend, IN

Active since August 03, 2023
53830 GENERATIONS DR, SOUTH BEND, IN 46635(574) 217-0174 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Northern Indiana Anesthesia Associates, Llc NPPES

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

NORTHERN INDIANA ANESTHESIA ASSOCIATES, LLC (NPI 1033891510) is a healthcare organization registered as a nurse anesthetist, certified registered in South Bend, Indiana and active in the NPI registry since August 2023. The organization lists Jeff Perry, Manager, as its authorized official.

NPPES Registry Identity

NPI1033891510
Entity TypeOrganization
Primary Taxonomy367500000X
Legal Business NameNORTHERN INDIANA ANESTHESIA ASSOCIATES, LLC
Location Address53830 GENERATIONS DRSouth Bend, IN 46635-1557
Mailing AddressPo Box 737897Dallas, TX 75373-7897 · (888) 717-5383
Organization SubpartNo
Authorized OfficialJeff PerryManager · (502) 418-4700
Enumeration DateAugust 3, 2023
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 23, 2025
✔ NPI 1033891510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedAnesthesiologyTaxonomy 207L00000X
53830 GENERATIONS DR, South Bend, IN 46635

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Indiana Anesthesia Associates, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Northern Indiana Anesthesia Associates, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Certified Registered Nurse Anesthetist (CRNA)25
Anesthesiology2

Nearest to this location (20)

See all 27
Certified Registered Nurse Anesthetist (CRNA)
NPI 1578672150
53830 GENERATIONS DR
South Bend, IN 46635
(574) 271-0893
✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063764835
1536 CRESTWOOD BLVD
South Bend, IN 46635
(574) 360-2619
✔ Accepts Medicare1.0 mi
Anesthesiology
NPI 1306136650
5215 HOLY CROSS PKWY
Mishawaka, IN 46545
(574) 335-5000
✔ PECOS✔ Accepts Medicare1.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1003561374
615 N MICHIGAN ST
South Bend, IN 46601
(574) 612-2476
✔ PECOS✔ Accepts Medicare3.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043248891
31 N SAINT JOSEPH AVE
Niles, MI 49120
(269) 687-1879
✔ Accepts Medicare8.5 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588605455
600 EAST BLVD
Elkhart, IN 46514
(574) 523-3193
11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1629489265
600 EAST BLVD
Elkhart, IN 46514
(574) 524-8130
✔ Accepts Medicare11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1699233676
600 EAST BLVD
Elkhart, IN 46514
(801) 462-5485
✔ Accepts Medicare11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093169096
1513 E JACKSON BLVD
Elkhart, IN 46516
(574) 523-3193
✔ Accepts Medicare13 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1538459904
1004 PARKWAY AVE STE A
Elkhart, IN 46516
(574) 522-9922
✔ Accepts Medicare14 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1285661686
10053 SINGER LAKE RD
Baroda, MI 49101
(231) 225-5216
✔ Accepts Medicare21 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1972169688
1234 NAPIER AVE
Saint Joseph, MI 49085
(334) 279-1450
30 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396383881
3630 WILLOWCREEK RD
Portage, IN 46368
(219) 364-3000
✔ Accepts Medicare52 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1346978319
5734 COVENTRY LN
Fort Wayne, IN 46804
(260) 436-7875
68 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265160881
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ PECOS✔ Accepts Medicare69 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1730413220
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
✔ Accepts Medicare69 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588392476
5050 N CLINTON ST
Fort Wayne, IN 46825
(260) 484-8551
69 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508824905
7150 CLEARVISTA DRIVE
Indianapolis, IN 37043
(317) 621-5890
✔ PECOS✔ Accepts Medicare125 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1609050715
1000 N 16TH ST
New Castle, IN 47362
(765) 521-0890
✔ Accepts Medicare130 mi
Anesthesiology
NPI 1235100082
1388B WELLBROOK CIR NE
Conyers, GA 30012
(770) 388-7745
✔ PECOS✔ Accepts Medicare567 mi
See all 27 clinicians

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

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 Northern Indiana Anesthesia Associates, LLC's NPI number?

The NPI number for Northern Indiana Anesthesia Associates, LLC is 1033891510. It was assigned to this organization in the NPPES registry on August 3, 2023.

Where is Northern Indiana Anesthesia Associates, LLC located?

Northern Indiana Anesthesia Associates, LLC is located at 53830 Generations Dr, South Bend, IN 46635. The listed phone number is (574) 217-0174.

What is Northern Indiana Anesthesia Associates, LLC's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Northern Indiana Anesthesia Associates, LLC enrolled in Medicare?

Yes. Northern Indiana Anesthesia Associates, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Indiana Anesthesia Associates, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 2 Medicare specialties reassign their Medicare billing to Northern Indiana Anesthesia Associates, LLC. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (25) and Anesthesiology (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northern Indiana Anesthesia Associates, LLC was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.