JOSHUA ERIC KWASNICKA
NPI 1386190494
Physician Assistant - Surgical in South Bend, IN

Active since August 29, 2016PECOS EnrolledAccepts Medicare Assignment
621 MEMORIAL DR STE 502, SOUTH BEND, IN 46601(574) 647-5875 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2023, Aug 29, 2016 (2 updates tracked since 2016).

About Joshua Eric Kwasnicka NPPES

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

JOSHUA ERIC KWASNICKA (NPI 1386190494) is an individual surgical provider in South Bend, Indiana, licensed in Indiana (10003694A) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1386190494
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOSHUA ERIC KWASNICKA
Location Address621 MEMORIAL DR STE 502South Bend, IN 46601-1075
Mailing Address18101 Lorain AveCleveland, OH 44111-5612 · (216) 475-7344
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 29, 2016
Last NPPES UpdateMay 22, 20242 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
NPI 1386190494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IN · 10003694A
621 MEMORIAL DR STE 502, South Bend, IN 46601

Secondary Practice Location 1

Location 118101 Lorain AveCleveland, OH 44111-5612 · Phone (216) 475-7344

Accepted 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

Joshua Eric Kwasnicka 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 ID5294015293
PECOS Enrollment IDI20161208002374
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.

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Fairview Hospital

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360077
Location18101 Lorain AvenueCleveland, OH 44111 · Cuyahoga County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

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

Surgery
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Nurse Practitioner (Family)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Surgery (Trauma Surgery)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Physician Assistant
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Surgery
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Physician Assistant
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Nurse Practitioner (Acute Care)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601
Nurse Practitioner (Acute Care)
621 MEMORIAL DR STE 502
SOUTH BEND, IN 46601

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 Joshua Kwasnicka's NPI number?

The NPI number for Joshua Kwasnicka is 1386190494. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Joshua Kwasnicka located?

Joshua Kwasnicka practices at 621 Memorial Dr Ste 502, South Bend, IN 46601. The listed phone number is (574) 647-5875.

What is Joshua Kwasnicka's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Joshua Kwasnicka enrolled in Medicare?

Yes. Joshua Kwasnicka 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 Joshua Kwasnicka accept?

Health plans from CareSource and Oscar Insurance Corporation of Ohio list Joshua Kwasnicka 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 Joshua Kwasnicka affiliated with any hospitals?

According to CMS data, Joshua Kwasnicka is affiliated with Lima Memorial Health System and Fairview Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Kwasnicka was last updated on May 22, 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.