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ROSEMARY GATHUNGU FNP
NPI 1326650052
Nurse Practitioner in Mishawaka, IN

Active since August 24, 2020PECOS Enrolled
1113 MOSSY LN, MISHAWAKA, IN 46544(574) 208-9114 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 16, 2020, Aug 24, 2020 (2 updates tracked since 2020).

About Rosemary Gathungu Fnp NPPES

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

ROSEMARY GATHUNGU FNP (NPI 1326650052) is an individual nurse practitioner in Mishawaka, Indiana, licensed in Indiana (71010364A) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1326650052
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameROSEMARY GATHUNGUCredential: FNP
Location Address1113 MOSSY LNMishawaka, IN 46544-9055
Mailing Address360 Hiawatha DrElkhart, IN 46517-1862 · (574) 370-7271
Phone(574) 208-9114
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 24, 2020
Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1326650052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71010364A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1113 MOSSY LN, Mishawaka, IN 46544
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rosemary Gathungu Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557772209
PECOS Enrollment IDI20201201001958
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Rosemary Gathungu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Lakes Behavior Management Specialists, Inc.
6.5 mi
Mental Health (Including Community Mental Health Center)
6910 N MAIN ST UNIT 13
Granger, IN 46530
  • Reassigned Medicare billing, Indiana enrollment
  • 9 clinicians in this Medicare group
NPI 1891346441 (574) 231-6766
Aims, LLC
12 mi
Psychiatry
417 S WHITLOCK ST
Bremen, IN 46506
  • Reassigned Medicare billing, Indiana enrollment
  • 87 clinicians in this Medicare group
NPI 1376072785 (574) 546-0330
Carelon Medical Partners, PC
379 mi
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, Indiana enrollment
  • 109 clinicians in this Medicare group
NPI 1124443403 (615) 454-9850

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46544 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

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

KALEY MICHELLE MARINO APRN, FNP-C
Nurse Practitioner (Psychiatric/Mental Health)
1113 MOSSY LN
MISHAWAKA, IN 46544
St. Joseph County (443) 739-9997

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 Rosemary Gathungu's NPI number?

The NPI number for Rosemary Gathungu is 1326650052. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Where is Rosemary Gathungu located?

Rosemary Gathungu practices at 1113 Mossy Ln, Mishawaka, IN 46544. The listed phone number is (574) 208-9114.

What is Rosemary Gathungu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rosemary Gathungu enrolled in Medicare?

Yes. Rosemary Gathungu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rosemary Gathungu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rosemary Gathungu reassigns Medicare benefits to 3 organizations: Great Lakes Behavior Management Specialists, Inc. (Granger, IN), Aims, LLC (Bremen, IN) and Carelon Medical Partners, PC (Nashville, TN). Each 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 Rosemary Gathungu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rosemary Gathungu 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 Rosemary Gathungu 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 Rosemary Gathungu was last updated on October 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.