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AMY ELIZABETH BRANCH RD
NPI 1164934311
Dietitian, Registered in South Bend, IN

Active since October 27, 2017
211 N EDDY ST, SOUTH BEND, IN 46617(317) 944-3500(317) 962-2474 Get Directions Write a Review

NPPES record last updated: May 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 17, 2025, Oct 18, 2022, Oct 27, 2017 (3 updates tracked since 2017).

About Amy Elizabeth Branch Rd NPPES

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

AMY ELIZABETH BRANCH RD (NPI 1164934311) is an individual dietitian, registered in South Bend, Indiana, licensed in Indiana (37001952A) and active in the NPI registry since October 2017. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164934311
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMY ELIZABETH BRANCHCredential: RD
Location Address211 N EDDY STSouth Bend, IN 46617-2808
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 944-3500
Fax(317) 962-2474
Sole ProprietorNo
Enumeration DateOctober 27, 2017
Last NPPES UpdateMay 17, 20253 updates tracked since enumeration
NPPES CertifiedMay 17, 2025
✔ NPI 1164934311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IN · 37001952A
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
211 N EDDY ST, South Bend, IN 46617
Open in Google Maps ↗

Other Names 1

Former Name (1)Amy Elizabeth Vandewielle

Secondary Practice Locations 2

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258
Location 28820 S Meridian St Ste 120Indianapolis, IN 46217-6057 · Phone (317) 944-3500

Other Identifiers 2

Other1102269486IN · Anthem Ptan
Other000001140962IN · Anthem Ptan

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Elizabeth Branch Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amy Branch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iu Health Medical Group, LLC
130 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Amy Branch's NPI number?

The NPI number for Amy Branch is 1164934311. It was assigned to this individual provider in the NPPES registry on October 27, 2017. The provider is also known as Amy Elizabeth Vandewielle.

Where is Amy Branch located?

Amy Branch practices at 211 N Eddy St, South Bend, IN 46617. The listed phone number is (317) 944-3500.

What is Amy Branch's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amy Branch enrolled in Medicare?

Yes. Amy Branch is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Branch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Branch reassigns Medicare benefits to Iu Health Medical Group, LLC (Indianapolis, 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 Amy Branch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Branch accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Amy Branch 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.

When was this NPI record last updated?

The NPPES record for Amy Branch was last updated on May 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.