GERTRUDE MUMBA-KAUNDA
NPI 1093146631
Nurse Practitioner - Family in South Bend, IN

Q: What is Gertrude Mumba-kaunda's NPI number?

The NPI number for Gertrude Mumba-kaunda is 1093146631. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Q: What is Gertrude Mumba-kaunda's specialty?

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

Active since December 09, 2013PECOS EnrolledAccepts Medicare Assignment

1901 W WESTERN AVE, SOUTH BEND, IN 46619(574) 234-9033(844) 397-1310 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 24, 2023, Mar 17, 2018 (2 updates tracked since 2018).

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About Gertrude Mumba-kaunda NPPES

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

GERTRUDE MUMBA-KAUNDA (NPI 1093146631) is an individual family provider in South Bend, Indiana, licensed in Michigan (4704248992) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1093146631

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameGERTRUDE MUMBA-KAUNDA

Location Address1901 W WESTERN AVESouth Bend, IN 46619-3569

Mailing Address8003 Castleway DrIndianapolis, IN 46250-1946 · (317) 576-1335 · Fax (844) 397-1311

Phone(574) 234-9033

Fax(844) 397-1310

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 9, 2013

Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration

NPPES CertifiedDecember 1, 2023

✔ NPI 1093146631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704248992

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71005367A (IN)

1901 W WESTERN AVE, South Bend, IN 46619

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Gertrude Mumba-kaunda 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 ID4981835626

PECOS Enrollment IDI20150415002017

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.

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46619 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers17 claims39 services$3.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

ANGE DANIELLE OVIDE-FLEURANT

Nurse Practitioner (Family)

1901 W WESTERN AVE
SOUTH BEND, IN 46619

St. Joseph County (574) 234-9033

CAROL LOUISE SIKORSKI WHNP

Nurse Practitioner (Obstetrics & Gynecology)

1901 W WESTERN AVE
SOUTH BEND, IN 46619

St. Joseph County (574) 234-0933

YAHYA EL-SHINNAWY

Pediatrics

1901 W WESTERN AVE
SOUTH BEND, IN 46619

St. Joseph County (317) 576-1335

DR. THOMAS J ALLEN D.D.S.

Dentist

1901 W WESTERN AVE, #B
SOUTH BEND, IN 46619

St. Joseph County (574) 234-9033

DR. LILIANA PATRICIA RUIZ M.D

Pediatrics

1901 W WESTERN AVE
SOUTH BEND, IN 46619

St. Joseph County (574) 234-9033

DR. JOSE DENNIS LIM M.D.

General Practice

1901 W WESTERN AVE, #B
SOUTH BEND, IN 46619

St. Joseph County (574) 234-9033

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 Gertrude Mumba-kaunda's NPI number?

The NPI number for Gertrude Mumba-kaunda is 1093146631. It was assigned to this individual provider in the NPPES registry on December 9, 2013.

Where is Gertrude Mumba-kaunda located?

Gertrude Mumba-kaunda practices at 1901 W Western Ave, South Bend, IN 46619. The listed phone number is (574) 234-9033.

What is Gertrude Mumba-kaunda's specialty?

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

Is Gertrude Mumba-kaunda enrolled in Medicare?

Yes. Gertrude Mumba-kaunda 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 Gertrude Mumba-kaunda accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Gertrude Mumba-kaunda 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 Gertrude Mumba-kaunda affiliated with any hospitals?

According to CMS data, Gertrude Mumba-kaunda is affiliated with Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Gertrude Mumba-kaunda was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.