Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NATALIE DANIELLE NIETO DO
NPI 1467193771
Pediatrics in South Bend, IN

Q: What is Natalie Nieto's NPI number?

The NPI number for Natalie Nieto is 1467193771. It was assigned to this individual provider in the NPPES registry on April 2, 2022.

Q: What is Natalie Nieto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Natalie Nieto was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.

Active since April 02, 2022PECOS Enrolled

1815 E IRELAND RD, SOUTH BEND, IN 46614(574) 647-1700(574) 647-7572 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 2, 2026, Mar 26, 2026, Sep 14, 2025 and 1 more (4 updates tracked since 2025).

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About Dr. Natalie Danielle Nieto Do NPPES

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

DR. NATALIE DANIELLE NIETO DO (NPI 1467193771) is an individual pediatrics provider in South Bend, Indiana, licensed in Indiana (02009066A) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Granger, and is a graduate of University Of New Mexico School Of Medicine (2025).

NPPES Registry Identity

NPI1467193771

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. NATALIE DANIELLE NIETOCredential: DO

Location Address1815 E IRELAND RDSouth Bend, IN 46614-2845

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-3725

Phone(574) 647-1700

Fax(574) 647-7572

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2025

Enumeration DateApril 2, 2022

Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1467193771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 02009066A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1815 E IRELAND RD, South Bend, IN 46614

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Secondary Practice Location 1

Location 16913 N Main St Ste 200Granger, IN 46530-8039 · Phone (574) 647-4540 · Fax (574) 647-2567

Other Identifiers 1

Medicaid300135762IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.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)

Dr. Natalie Danielle Nieto Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002295094

PECOS Enrollment IDI20251014000252

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 46614 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.

DR. TRAVIS WEAVER D.O.

Internal Medicine (Endocrinology, Diabetes & Metabolism)