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KUMBIRAI MADIYE PMHNP
NPI 1427563535
Nurse Practitioner - Psychiatric/Mental Health in Laguna Beach, CA

Active since December 12, 2017PECOS EnrolledAccepts Medicare Assignment
MINDWORKS CONNECTION, 1968 S COAST HWY # 4560, LAGUNA BEACH, CA 92651(425) 615-4312(442) 253-8085 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2022, Mar 8, 2022, Dec 17, 2021 and 3 more (6 updates tracked since 2017).

About Kumbirai Madiye Pmhnp NPPES

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

KUMBIRAI MADIYE PMHNP (NPI 1427563535) is an individual psychiatric/mental health provider in Laguna Beach, California, licensed in California (95008989) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1427563535
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKUMBIRAI MADIYECredential: PMHNP
Location AddressMINDWORKS CONNECTION, 1968 S COAST HWY # 4560Laguna Beach, CA 92651-3681
Mailing Address1968 S Coast Hwy # 4560Laguna Beach, CA 92651-3681 · (425) 615-4312 · Fax (442) 253-8085
Phone(425) 615-4312
Fax(442) 253-8085
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 12, 2017
Last NPPES UpdateApril 7, 20226 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1427563535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in CA · 95008989✔ Licensed in WA · AP61108955✔ Licensed in AZ · 228169
MINDWORKS CONNECTION, Laguna Beach, CA 92651
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan 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

Kumbirai Madiye Pmhnp 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 ID6103170626
PECOS Enrollment IDI20260529000645
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 92651 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

MINDWORKS CONNECTION PROFESSIONAL NURSING CORPORATION
Clinic/Center (Mental Health (Including Community Mental Health Center))
MINDWORKS CONNECTION, 1968 S COAST HWY # 4560
LAGUNA BEACH, CA 92651
Orange County (425) 615-4312

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 Kumbirai Madiye's NPI number?

The NPI number for Kumbirai Madiye is 1427563535. It was assigned to this individual provider in the NPPES registry on December 12, 2017.

Where is Kumbirai Madiye located?

Kumbirai Madiye practices at Mindworks Connection 1968 S Coast Hwy # 4560, Laguna Beach, CA 92651. The listed phone number is (425) 615-4312.

What is Kumbirai Madiye's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kumbirai Madiye enrolled in Medicare?

Yes. Kumbirai Madiye 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 Kumbirai Madiye accept?

Health plans from Kaiser Permanente, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and UnitedHealthcare list Kumbirai Madiye 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 Kumbirai Madiye was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.