PRIVIA MEDICAL GROUP INDIANA, LLC
Medicare Clinicians for NPI 1083165708
Clinic/Center - Multi-Specialty in Elkhart, IN

Active since October 18, 2016
2222 W LEXINGTON AVE, SUITE B, ELKHART, IN 46514(574) 296-3200(574) 296-3392 Get Directions

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 12, 2025, Mar 5, 2024, Aug 19, 2019 and 3 more (6 updates tracked since 2016).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Privia Medical Group Indiana, LLC in Elkhart, IN bills Medicare for 47 clinicians across 19 Medicare specialties. The largest specialties are Nurse Practitioner with 12, Family Practice with 10 and Internal Medicine with 6. Of these, 3 practice at this address and 33 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

47Clinicians
19Medicare specialties
46PECOS enrolled
42Accept Medicare
47 clinicians in 19 specialties

Nurse Practitioner (12)

Nurse Practitioner
NPI 1386135374
2222 W LEXINGTON AVE STE B
Elkhart, IN 46514
(574) 296-3348
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184010936
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3200
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1316883879
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3200
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1144953902
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3200
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1316792203
330 LAKEVIEW DR
Goshen, IN 46528
(574) 333-1234
✔ PECOS10 mi
Nurse Practitioner
NPI 1427828854
53779 GENERATIONS DR STE D
South Bend, IN 46635
(574) 383-8072
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1083063499
400 W LINCOLN AVE
Goshen, IN 46526
(574) 533-7600
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1396414827
1815 E IRELAND RD
South Bend, IN 46614
(574) 647-1700
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1811744931
610 N MICHIGAN ST STE 400
South Bend, IN 46601
(574) 647-8120
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1144681941
621 MEMORIAL DR STE 100
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1114482676
209 E JEFFERSON ST
Plymouth, IN 46563
(574) 948-5100
✔ PECOS✔ Accepts Medicare28 mi
Nurse Practitioner
NPI 1952534943
1205 PROVIDENT DRIVE SUITE A
Warsaw, IN 46580
(574) 269-8383
✔ PECOS✔ Accepts Medicare31 mi

Family Practice (10)

Family Practice
NPI 1508508706
2115 W LEXINGTON AVE
Elkhart, IN 46514
(574) 296-3200
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588667117
2115 W LEXINGTON AVE
Elkhart, IN 46514
(574) 296-3955
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1356344972
2115 W LEXINGTON AVE
Elkhart, IN 46514
(574) 296-3955
✔ PECOS0.1 mi
Family Practice
NPI 1750504734
2115 W LEXINGTON AVE
Elkhart, IN 46514
(574) 296-3950
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1841293461
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3296
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1861599300
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3200
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1063975332
25651 COUNTY ROAD 20
Elkhart, IN 46517
(571) 244-2261
✔ PECOS✔ Accepts Medicare3.3 mi
Family Practice
NPI 1821199431
25651 COUNTY ROAD 20
Elkhart, IN 46517
(574) 522-1201
✔ PECOS✔ Accepts Medicare3.4 mi
Family Practice
NPI 1821123035
303 S MAIN ST SUITE 200
Mishawaka, IN 46544
(574) 255-8285
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1114972312
2450 TAMIAMI TRL STE A
Port Charlotte, FL 33952
(941) 624-2704
✔ PECOS1,036 mi

Internal Medicine (6)

Internal Medicine
NPI 1578566675
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3307
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1922001098
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3314
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1225031164
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3307
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1669475471
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3307
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1417919481
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3200
✔ PECOS✔ Accepts Medicare0.1 mi
Internal Medicine
NPI 1871596700
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3307
✔ PECOS✔ Accepts Medicare0.1 mi

Gastroenterology (2)

Gastroenterology
NPI 1326098013
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3341
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1386647170
621 MEMORIAL DR STE 511
South Bend, IN 46601
(574) 544-5580
✔ PECOS✔ Accepts Medicare13 mi

General Surgery (2)

General Surgery
NPI 1952797771
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3200
✔ PECOS✔ Accepts Medicare0.1 mi
General Surgery
NPI 1043537020
42 N SAINT JOSEPH AVE STE 100
Niles, MI 49120
(269) 684-6696
✔ PECOS✔ Accepts Medicare17 mi

Podiatry (2)

Podiatry
NPI 1164917167
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3200
✔ PECOS✔ Accepts Medicare0.1 mi
Podiatry
NPI 1003178690
2235 CLEVELAND RD
South Bend, IN 46628
(574) 647-4530
✔ PECOS✔ Accepts Medicare15 mi

Allergy/Immunology (1)

Allergy/Immunology
NPI 1265437255
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3314
✔ PECOS✔ Accepts Medicare0.1 mi

Anesthesiology (1)

Anesthesiology
NPI 1932159910
242 WATERFALL DR SUITE B
Elkhart, IN 46516
(574) 404-7246
✔ PECOS2.0 mi

Cardiovascular Disease (Cardiology) (1)

Cardiovascular Disease (Cardiology)
NPI 1164425997
303 S NAPPANEE ST STE A
Elkhart, IN 46514
(574) 296-3466
✔ PECOS✔ Accepts Medicare0.3 mi

Interventional Cardiology (1)

Interventional Cardiology
NPI 1609076777
303 S NAPPANEE ST STE A
Elkhart, IN 46514
(574) 296-3338
✔ PECOS✔ Accepts Medicare0.3 mi

Medical Oncology (1)

Medical Oncology
NPI 1215900311
615 N MICHIGAN ST
South Bend, IN 46601
(574) 647-1100
✔ PECOS✔ Accepts Medicare13 mi

Neurology (1)

Neurology
NPI 1265437404
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3282
✔ PECOS✔ Accepts Medicare0.1 mi

Ophthalmology (1)

Ophthalmology
NPI 1336362318
1628 W BEARDSLEY AVE
Elkhart, IN 46514
(574) 391-1020
✔ PECOS✔ Accepts Medicare0.7 mi

Optometry (1)

Optometry
NPI 1376982074
2222 W LEXINGTON AVE
Elkhart, IN 46514
(574) 294-3030
✔ PECOS✔ Accepts MedicareSame address

Otolaryngology (1)

Otolaryngology
NPI 1245201169
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3291
✔ PECOS✔ Accepts Medicare0.1 mi

Pulmonary Disease (1)

Pulmonary Disease
NPI 1528061447
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3314
✔ PECOS✔ Accepts Medicare0.1 mi

Registered Dietitian or Nutrition Professional (1)

Registered Dietitian or Nutrition Professional
NPI 1578013058
1815 E IRELAND RD
South Bend, IN 46614
(574) 647-1700
✔ Accepts Medicare12 mi

Rheumatology (1)

Rheumatology
NPI 1003895681
303 S NAPPANEE ST
Elkhart, IN 46514
(574) 296-3200
✔ PECOS✔ Accepts Medicare0.1 mi

Urology (1)

Urology
NPI 1952356503
410 PARK PL STE B
Mishawaka, IN 46545
(574) 855-5800
✔ PECOS✔ Accepts Medicare9.0 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Privia Medical Group Indiana, LLC appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.