KRISTIN MARIE WYMER N.P.
NPI 1679058762
Nurse Practitioner - Family in South Bend, IN

Q: What is Kristin Wymer's NPI number?

The NPI number for Kristin Wymer is 1679058762. It was assigned to this individual provider in the NPPES registry on September 25, 2018.

Q: What is Kristin Wymer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Wymer was last updated on April 29, 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.

Active since September 25, 2018PECOS EnrolledAccepts Medicare Assignment

211 N EDDY ST, SOUTH BEND, IN 46617(574) 237-9231(574) 204-6355 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2024, Nov 20, 2018, Oct 26, 2018 and 1 more (4 updates tracked since 2018).

On this page

About Kristin Marie Wymer N.p. NPPES

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

KRISTIN MARIE WYMER N.P. (NPI 1679058762) is an individual family provider in South Bend, Indiana, licensed in Indiana (71008462A) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1679058762

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTIN MARIE WYMERCredential: N.P.

Location Address211 N EDDY STSouth Bend, IN 46617-3096

Mailing Address211 N Eddy StSouth Bend, IN 46617-2808 · (574) 237-9231

Phone(574) 237-9231

Fax(574) 204-6355

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateSeptember 25, 2018

Last NPPES UpdateApril 29, 20244 updates tracked since enumeration

NPPES CertifiedApril 15, 2024

✔ NPI 1679058762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71008462A

Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 28193580A (IN)

211 N EDDY ST, South Bend, IN 46617

Open in Google Maps ↗

Secondary Practice Locations 5

Location 11815 E Ireland RdSouth Bend, IN 46614-2845 · Phone (574) 647-1700

Location 22235 Cleveland RdSouth Bend, IN 46628-3529 · Phone (574) 647-4530

Location 33221 Beacon PkwyGranger, IN 46530-7196 · Phone (574) 647-1670

Location 4621 Memorial Dr Ste 612South Bend, IN 46601-1085 · Phone (574) 647-7975 · Fax (574) 647-7978

Location 5100 Navarre Pl Ste 5500South Bend, IN 46601-1172 · Phone (574) 647-5300

Other Identifiers 4

Other169380084IN · Medicare Ptan

Other247000032IN · Medicare Ptan

Other261970104IN · Medicare Ptan

Medicaid300020098IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kristin Marie Wymer N.p. 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 ID9830442029

PECOS Enrollment IDI20181106001232

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

Medicare enrollment records show Kristin Wymer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The South Bend Clinic, LLC

0.2 mi

Anesthesiology

211 N EDDY ST
South Bend, IN 46617

Reassigned Medicare billing, Indiana enrollment
211 clinicians in this Medicare group

NPI 1487307492 (574) 239-1567

Beacon Medical Group, Inc.

0.8 mi

Sports Medicine

111 W JEFFERSON BLVD, SUITE 100
South Bend, IN 46601

Reassigned Medicare billing, Indiana enrollment
734 clinicians in this Medicare group

NPI 1578515151 (574) 647-1669

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

300 services76 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

174 services161 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

135 services121 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services68 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

40 services38 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

39 services38 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

34 services34 patients

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) J7308

Aminolevulinic Acid HCL is a medication applied to the skin to treat certain types of skin conditions. It works by making the skin more sensitive to light, which helps to kill abnormal skin cells. The 20% solution is a single dose of 354 mg.

27 services19 patients

Bacterial culture for aerobic isolates 87077

A bacterial culture for aerobic isolates is a lab test that helps identify bacteria that thrive in oxygen-rich environments. A sample from the suspected infection site is collected, then placed in a special medium that promotes bacterial growth. After a set period, the lab identifies any bacteria present, aiding in accurate diagnosis and treatment.

26 services20 patients

Application of light to destroy precancer skin growth 96567

This procedure involves the use of special light to eradicate precancerous skin growths. The light targets abnormal cells causing them to die off, while leaving healthy skin unharmed. It's a non-invasive method that helps prevent skin cancer.

26 services18 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

25 services25 patients

Bacterial culture, any other source except urine, blood or stool, aerobic 87070

A bacterial culture is a test that helps identify harmful bacteria in your body. In this case, a sample from any part other than urine, blood or stool is collected. The sample is placed in a special environment to promote bacteria growth. It helps in diagnosing infections and determining the best treatment.

24 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46617 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.

AUTUMN MARIE HANNA PA

Physician Assistant