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LESLIE NICOLE KANIUK NP
NPI 1245065127
Nurse Practitioner - Family in South Bend, IN

Active since September 03, 2024PECOS EnrolledAccepts Medicare Assignment
100 NAVARRE PL STE 4400, SOUTH BEND, IN 46601(574) 647-2501(574) 647-2506 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Feb 3, 2025, Dec 23, 2024 and 1 more (4 updates tracked since 2024).

About Leslie Nicole Kaniuk Np NPPES

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

LESLIE NICOLE KANIUK NP (NPI 1245065127) is an individual family provider in South Bend, Indiana, licensed in Indiana (71016046A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1245065127
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLESLIE NICOLE KANIUKCredential: NP
Location Address100 NAVARRE PL STE 4400South Bend, IN 46601-1100
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-6592
Phone(574) 647-2501
Fax(574) 647-2506
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 3, 2024
Last NPPES UpdateMay 18, 20264 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1245065127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71016046A
100 NAVARRE PL STE 4400, South Bend, IN 46601
Open in Google Maps ↗

Secondary Practice Location 1

Location 15314 Lincolnway EMishawaka, IN 46544-4249 · Phone (574) 647-8542 · Fax (574) 647-8549

Other Identifiers 1

Medicaid300101596IN

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

Leslie Nicole Kaniuk Np 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 ID1557890571
PECOS Enrollment IDI20250121001626
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 2

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

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 46601 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 2

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

BEACON MEDICAL GROUP, INC.
Internal Medicine (Nephrology)
100 NAVARRE PL STE 4400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-1972
JAMES W KOZELKA MD
Psychiatry & Neurology (Neurology)
100 NAVARRE PL STE 4400
SOUTH BEND, IN 46601
St. Joseph County (574) 647-2501

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 Leslie Kaniuk's NPI number?

The NPI number for Leslie Kaniuk is 1245065127. It was assigned to this individual provider in the NPPES registry on September 3, 2024.

Where is Leslie Kaniuk located?

Leslie Kaniuk practices at 100 Navarre Pl Ste 4400, South Bend, IN 46601. The listed phone number is (574) 647-2501.

What is Leslie Kaniuk's specialty?

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

Is Leslie Kaniuk enrolled in Medicare?

Yes. Leslie Kaniuk 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 Leslie Kaniuk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Leslie Kaniuk 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 Leslie Kaniuk affiliated with any hospitals?

According to CMS data, Leslie Kaniuk is affiliated with Methodist Hospitals Inc and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Leslie Kaniuk was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.