AUDRA JANICE KUNZMAN-MAZDZER MD
NPI 1144227174
Pediatrics in Bloomington, IN

Q: What is Audra Kunzman-mazdzer's NPI number?

The NPI number for Audra Kunzman-mazdzer is 1144227174. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Q: What is Audra Kunzman-mazdzer's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since July 05, 2005PECOS Enrolled

350 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 335-2434(812) 335-7604 Get Directions Write a Review

NPPES record last updated: November 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 2, 2021, Dec 17, 2020, Feb 29, 2016 (3 updates tracked since 2016).

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About Audra Janice Kunzman-mazdzer Md NPPES

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

AUDRA JANICE KUNZMAN-MAZDZER MD (NPI 1144227174) is an individual pediatrics provider in Bloomington, Indiana, licensed in Indiana (01058206A) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144227174

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAUDRA JANICE KUNZMAN-MAZDZERCredential: MD

Location Address350 S LANDMARK AVEBloomington, IN 47403-5001

Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959

Phone(812) 335-2434

Fax(812) 335-7604

Sole ProprietorNo

Enumeration DateJuly 5, 2005

Last NPPES UpdateNovember 2, 20213 updates tracked since enumeration

NPPES CertifiedNovember 2, 2021

✔ NPI 1144227174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01058206A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

350 S LANDMARK AVE, Bloomington, IN 47403

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Other Identifiers 1

Medicaid200386000IN

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 (PECOS)

Audra Janice Kunzman-mazdzer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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.

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.

NICHOLE HICKMAN NP

Nurse Practitioner (Pediatrics)