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MNYISEI ELAINE KAMVAZAANA NP
NPI 1376371708
Nurse Practitioner - Obstetrics & Gynecology in Lake Station, IN

Active since July 25, 2024PECOS Enrolled
2490 CENTRAL AVE, LAKE STATION, IN 46405(219) 763-8112 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mnyisei Elaine Kamvazaana Np NPPES

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

MNYISEI ELAINE KAMVAZAANA NP (NPI 1376371708) is an individual obstetrics & gynecology provider in Lake Station, Indiana, licensed in Indiana (71015457A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376371708
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMNYISEI ELAINE KAMVAZAANACredential: NP
Location Address2490 CENTRAL AVELake Station, IN 46405-2122
Mailing Address2396 Butterfly LnBerrien Springs, MI 49103-8501 · (269) 815-2444
Phone(219) 763-8112
Sole ProprietorNo
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
✔ NPI 1376371708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in IN · 71015457A
2490 CENTRAL AVE, Lake Station, IN 46405
Open in Google Maps ↗

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.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)

Mnyisei Elaine Kamvazaana Np 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 46405 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.

MR. DAKOTA LYNN TAYLOR MSW
Social Worker
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
FERNANDO H. RIVERA M.D.
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
REYNALDO MARTIN CALUAG MD
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
DR. AMY JANETTE MAXBERRY PHARM.D.
Pharmacist
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 962-5909
SAOUSSAN ALFAHEL MD
Pediatrics
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
MR. KEITH MINTON RAMSEY M.D.
Obstetrics & Gynecology
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112
NORTHSHORE HEALTH CENTERS
Family Medicine
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 962-2760
DR. RONALD SAMUEL LEMON II O.D.
Optometrist
2490 CENTRAL AVE
LAKE STATION, IN 46405
Lake County (219) 763-8112

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 Mnyisei Kamvazaana's NPI number?

The NPI number for Mnyisei Kamvazaana is 1376371708. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Mnyisei Kamvazaana located?

Mnyisei Kamvazaana practices at 2490 Central Ave, Lake Station, IN 46405. The listed phone number is (219) 763-8112.

What is Mnyisei Kamvazaana's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Mnyisei Kamvazaana enrolled in Medicare?

Yes. Mnyisei Kamvazaana is registered in the Medicare PECOS enrollment system.

What insurance does Mnyisei Kamvazaana accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Mnyisei Kamvazaana 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 Mnyisei Kamvazaana was last updated on July 25, 2024. 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.