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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KATELYN MARIE KOLKEBECK PA
NPI 1073423562
Physician Assistant in South Bend, IN

Active since September 09, 2026
211 N EDDY ST, SOUTH BEND, IN 46617(574) 237-9294 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 29, 2026, Sep 9, 2026 (2 updates tracked since 2026).

About Katelyn Marie Kolkebeck Pa NPPES

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

KATELYN MARIE KOLKEBECK PA (NPI 1073423562) is an individual physician assistant in South Bend, Indiana, licensed in Indiana (10005594A) and active in the NPI registry since September 2026. She maintains a secondary practice location in Granger.

NPPES Registry Identity

NPI1073423562
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATELYN MARIE KOLKEBECKCredential: PA
Location Address211 N EDDY STSouth Bend, IN 46617-2808
Mailing Address211 N Eddy StSouth Bend, IN 46617-3096 · (574) 237-9294
Phone(574) 237-9294
Sole ProprietorNo
Enumeration DateSeptember 9, 2026
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1073423562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10005594A
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.
211 N EDDY ST, South Bend, IN 46617
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Secondary Practice Location 1

Location 152500 Fir RdGranger, IN 46530-8579 · Phone (574) 237-9294

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.

AUTUMN MARIE HANNA PA
Physician Assistant
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 234-8161
DR. STEVEN P. CROWELL MD
Internal Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9340
JESSICA A HECKMAN R.D.
Dietitian, Registered
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9331
LOUIS CAVADINI DO
Family Medicine
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9395
MS. REGINA R. JASIEWICZ FNP
Nurse Practitioner (Family)
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9231
DR. ERSALAN A RAHMAN M.D.
Ophthalmology
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9334
DR. SCOTT H WOLF MD
Radiology (Diagnostic Radiology)
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 237-9203
MRS. AMY KAY KARANJA NP
Nurse Practitioner (Family)
211 N EDDY ST
SOUTH BEND, IN 46617
St. Joseph County (574) 234-8161

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 Katelyn Kolkebeck's NPI number?

The NPI number for Katelyn Kolkebeck is 1073423562. It was assigned to this individual provider in the NPPES registry on September 9, 2026.

Where is Katelyn Kolkebeck located?

Katelyn Kolkebeck practices at 211 N Eddy St, South Bend, IN 46617. The listed phone number is (574) 237-9294.

What is Katelyn Kolkebeck's specialty?

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

When was this NPI record last updated?

The NPPES record for Katelyn Kolkebeck was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.