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MR. SAMUEL DOMINIC KOBBA N.P.
NPI 1811211154
Nurse Practitioner - Family in Elkhart, IN

Active since March 16, 2010PECOS EnrolledAccepts Medicare Assignment
236 SIMPSON AVE, ELKHART, IN 46516(574) 293-0052(574) 343-1390 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 3, 2023, Apr 30, 2021 (2 updates tracked since 2021).

About Mr. Samuel Dominic Kobba N.p. NPPES

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

MR. SAMUEL DOMINIC KOBBA N.P. (NPI 1811211154) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71000742A) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1811211154
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SAMUEL DOMINIC KOBBACredential: N.P.
Location Address236 SIMPSON AVEElkhart, IN 46516-4666
Mailing Address5550 S East St Ste CIndianapolis, IN 46227-1991 · (317) 534-4660 · Fax (317) 782-4301
Phone(574) 293-0052
Fax(574) 343-1390
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMarch 16, 2010
Last NPPES UpdateNovember 3, 20232 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1811211154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71000742A
236 SIMPSON AVE, Elkhart, IN 46516
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Samuel Dominic Kobba 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 ID941432918
PECOS Enrollment IDI20140407001727
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 46516 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.

HEART CITY HEALTH CENTER PHARMACY
Clinic/Center (Community Health)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 970-1441
ELIZABETH W MAINA NP
Nurse Practitioner (Family)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052
ALI A MAHAMAT MASTER OF PSYCHOLOGY
Psychologist (Intellectual and Developmental Disabilities)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-3786
ESSAM A. MONTASIR M.D.
Internal Medicine
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052
DR. ALISON RAE ROBERTSON D.D.S.
Dentist
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 970-1937
MR. KENNETH SCOTT BETHEL RN, FNP
Nurse Practitioner (Family)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052
ADAM ROBERT PEILA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052
MEGAN SALYER MSN, RN, FNP-BC
Nurse Practitioner (Family)
236 SIMPSON AVE
ELKHART, IN 46516
Elkhart County (574) 293-0052

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 Samuel Kobba's NPI number?

The NPI number for Samuel Kobba is 1811211154. It was assigned to this individual provider in the NPPES registry on March 16, 2010.

Where is Samuel Kobba located?

Samuel Kobba practices at 236 Simpson Ave, Elkhart, IN 46516. The listed phone number is (574) 293-0052.

What is Samuel Kobba's specialty?

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

Is Samuel Kobba enrolled in Medicare?

Yes. Samuel Kobba 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 Samuel Kobba accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Samuel Kobba 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 Samuel Kobba was last updated on November 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.