MS. CAMI JO KISTENFEGER MPAS, PA-C
NPI 1053620930
Physician Assistant in South Bend, IN

Active since September 27, 2010PECOS EnrolledAccepts Medicare Assignment
53880 CARMICHAEL DR, SOUTH BEND, IN 46635(574) 247-9441(745) 247-9442 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Cami Jo Kistenfeger Mpas, Pa-c NPPES

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

MS. CAMI JO KISTENFEGER MPAS, PA-C (NPI 1053620930) is an individual physician assistant in South Bend, Indiana, licensed in Indiana (10004288A) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053620930
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. CAMI JO KISTENFEGERCredential: MPAS, PA-C
Location Address53880 CARMICHAEL DRSouth Bend, IN 46635-1567
Mailing Address3600 W Bethel AveMuncie, IN 47304-5407
Fax(745) 247-9442
Sole ProprietorNo
Medical School CMSAt Still Un Of Hlth Sciences, Col Of Osteo Med, MesaGraduated 2010
Enumeration DateSeptember 27, 2010
Last NPPES UpdateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
NPI 1053620930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in IN · 10004288A Licensed in IL · 085.003920
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
53880 CARMICHAEL DR, South Bend, IN 46635

Secondary Practice Locations 3

Location 160160 Bodnar BlvdMishawaka, IN 46544-9338 · Phone (574) 247-9441 · Fax (574) 247-9442
Location 2303 S Nappanee St Ste FElkhart, IN 46514-2066 · Phone (574) 247-9441
Location 32349 Lake Ave Ste 201Plymouth, IN 46563-7837 · Phone (574) 247-9441

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Cami Jo Kistenfeger Mpas, Pa-c 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 ID4880880673
PECOS Enrollment IDI20240304001704
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.

Areas of Expertise CMS Part B claims 13

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
532 services76 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
109 services80 patients
Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. 99424
Principal Care Management (PCM) services are health care services focused on managing a single high-risk disease. A qualified health professional will personally provide these services for the first 30 minutes each month. This could include monitoring your condition, coordinating your care, and making necessary adjustments to your treatment plan.
77 services75 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
69 services63 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services54 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
53 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Unity Physicians Hospital

Acute Care Hospitals · Mishawaka, IN
OwnershipPhysician
CMS Certification Number150177
Location4455 Edison Lakes PkwyMishawaka, IN 46545 · St. Joseph County

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151300
Location1020 High RdBremen, IN 46506 · Marshall County
Emergency services

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 46635 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%94 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%91 patients
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 20

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

Physical Therapy Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physical Therapist
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Orthopaedic Surgery
53880 CARMICHAEL DR
SOUTH BEND, IN 46635
Physician Assistant
53880 CARMICHAEL DR
SOUTH BEND, IN 46635

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 Cami Kistenfeger's NPI number?

The NPI number for Cami Kistenfeger is 1053620930. It was assigned to this individual provider in the NPPES registry on September 27, 2010.

Where is Cami Kistenfeger located?

Cami Kistenfeger practices at 53880 Carmichael Dr, South Bend, IN 46635. The listed phone number is (574) 247-9441.

What is Cami Kistenfeger's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Cami Kistenfeger enrolled in Medicare?

Yes. Cami Kistenfeger 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.

What insurance does Cami Kistenfeger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Cami Kistenfeger 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 Cami Kistenfeger affiliated with any hospitals?

According to CMS data, Cami Kistenfeger is affiliated with Saint Joseph Regional Medical Center, Saint Joseph Regional Medical Center - Plymouth, Unity Physicians Hospital, Community Hospital Of Bremen Inc and Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Cami Kistenfeger was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.