MILDRED MUKOROMBINDO
NPI 1427728583
Nurse Practitioner - Family in Indianapolis, IN
About Mildred Mukorombindo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILDRED MUKOROMBINDO (NPI 1427728583) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (2021051023) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mildred Mukorombindo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mildred Mukorombindo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37214
- Reassigned Medicare billing, Indiana enrollment
- 109 clinicians in this Medicare group
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 46240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
INDIANAPOLIS, IN 46240
INDIANAPOLIS, IN 46240
INDIANAPOLIS, IN 46240
INDIANAPOLIS, IN 46240
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 Mildred Mukorombindo's NPI number?
The NPI number for Mildred Mukorombindo is 1427728583. It was assigned to this individual provider in the NPPES registry on September 20, 2021.
Where is Mildred Mukorombindo located?
Mildred Mukorombindo practices at 3815 River Crossing Pkwy Suite 100, Indianapolis, IN 46240. The listed phone number is (844) 735-3314.
What is Mildred Mukorombindo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mildred Mukorombindo enrolled in Medicare?
Yes. Mildred Mukorombindo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mildred Mukorombindo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mildred Mukorombindo reassigns Medicare benefits to Carelon Medical Partners, PC (Nashville, TN). The 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 Mildred Mukorombindo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mildred Mukorombindo was last updated on September 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mildred Mukorombindo · NPI 1427728583
Family physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since September 20, 2021.
## Identity
- **NPI:** 1427728583 (Entity type: Individual)
- **Enumerated:** September 20, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2021051023 (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3815 RIVER CROSSING PKWY, SUITE 100, Indianapolis, IN 46240-7766
- **Phone:** (844) 735-3314
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carelon Medical Partners, PC (NPI 1124443403, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1427728583) · Data from the CMS NPPES public registry.