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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: October 18, 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
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Kumbirai Madiye reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sokyahealth Medical Group PC
56 mi
Mental Health
5060 SHOREHAM PL STE 330
San Diego, CA 92122
  • Reassigned Medicare billing, California enrollment
  • 245 clinicians in this Medicare group
NPI 1942970330 (858) 427-5060
Community Research Foundation Inc
60 mi
Community/Behavioral Health
1202 MORENA BLVD STE 100
San Diego, CA 92110
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
NPI 1952328700 (619) 275-0822
Navos
997 mi
Mental Health (Including Community Mental Health Center)
2600 SW HOLDEN ST
Seattle, WA 98126
  • Reassigned Medicare billing, Washington enrollment
  • 84 clinicians in this Medicare group
NPI 1194728105 (206) 933-7214
Alaska Native Tribal Health Consortium
2,384 mi
General Acute Care Hospital
4315 DIPLOMACY DR
Anchorage, AK 99508
  • Reassigned Medicare billing, Texas enrollment
  • 1,373 clinicians in this Medicare group
NPI 1437189339 (907) 563-2662
Holyoke Capital Jv, LLC
2,507 mi
Psychiatric Hospital
1233 MAIN ST
Holyoke, MA 01040
  • Reassigned Medicare billing, Massachusetts enrollment
  • 77 clinicians in this Medicare group
NPI 1649856618 (413) 701-2600
Devens Treatment & Recovery Center, LLC
2,559 mi
Psychiatry
85 PATTON RD
Devens, MA 01434
  • Reassigned Medicare billing, Massachusetts enrollment
  • 76 clinicians in this Medicare group
NPI 1811473267 (978) 615-5200

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 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.

Which organizations bill Medicare for Kumbirai Madiye's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kumbirai Madiye reassigns Medicare benefits to 6 organizations: Sokyahealth Medical Group PC (San Diego, CA), Community Research Foundation Inc (San Diego, CA), Navos (Seattle, WA), Alaska Native Tribal Health Consortium (Anchorage, AK), Holyoke Capital Jv, LLC (Holyoke, MA) and 1 more organization, listed in the Medicare section above. 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 Kumbirai Madiye's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kumbirai Madiye accept?

Health plans from Kaiser Permanente and Premera Blue Cross Blue Shield of Alaska 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.