GERTRUDE MUMBA-KAUNDA
NPI 1093146631
Nurse Practitioner - Family in South Bend, IN
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 maintains a secondary practice location in Watervliet.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Gertrude Mumba-kaunda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marion, IN 46953
- Reassigned Medicare billing, Indiana enrollment
- 71 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, INPhysician 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.
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.
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.
SOUTH BEND, IN 46619
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.
Which organization bills Medicare for Gertrude Mumba-kaunda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gertrude Mumba-kaunda reassigns Medicare benefits to Indiana Health Centers, Inc (Marion, IN). The 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 Gertrude Mumba-kaunda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gertrude Mumba-kaunda accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield 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.
# Gertrude Mumba-Kaunda · NPI 1093146631
Family physician in South Bend, Indiana. Individual provider, active in the CMS NPPES registry since December 9, 2013.
## Identity
- **NPI:** 1093146631 (Entity type: Individual)
- **Enumerated:** December 9, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704248992 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1901 W WESTERN AVE, South Bend, IN 46619-3569
- **Phone:** (574) 234-9033 · **Fax:** (844) 397-1310
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Indiana Health Centers, Inc (NPI 1215343389, Marion, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** December 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1093146631) · Data from the CMS NPPES public registry.