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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: October 18, 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, maintains a secondary practice location in Indianapolis, 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 ↗

Secondary Practice Location 1

Location 15550 S East St Ste CIndianapolis, IN 46227-1991 · Phone (317) 534-4660 · Fax (317) 782-4301

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Samuel Kobba reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthlinc, Inc
Same address
Community Health
236 SIMPSON AVE
Elkhart, IN 46516
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Heart City Health Center Inc
  • 46 clinicians in this Medicare group
NPI 1720033418 (574) 970-1435
The Health And Hospital Corporation Of Marion County
126 mi
Federally Qualified Health Center (FQHC)
6940 MICHIGAN RD STE 140
Indianapolis, IN 46268
  • Reassigned Medicare billing, Indiana enrollment
  • 564 clinicians in this Medicare group
NPI 1093054447 (317) 266-2901
Bridge Clinics Behavioral Health LLC
132 mi
Mental Health (Including Community Mental Health Center)
3702 E 10TH ST
Indianapolis, IN 46201
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group
NPI 1326661836 (317) 757-2563
Eskenazi Medical Group Inc
133 mi
Adult Medicine
720 ESKENAZI AVE
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 386 clinicians in this Medicare group
NPI 1730451063 (317) 880-7666
Bridge Clinics LLC
134 mi
Addiction Medicine
6357 ROCKVILLE RD
Indianapolis, IN 46214
  • Reassigned Medicare billing, Indiana enrollment
  • 2 clinicians in this Medicare group
NPI 1568935278 (317) 757-2563

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 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
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
MR. TERRANCE POINDEXTER LCSW
Social Worker (Clinical)
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.

Which organizations bill Medicare for Samuel Kobba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Kobba reassigns Medicare benefits to 5 organizations: Healthlinc, Inc (Elkhart, IN), The Health And Hospital Corporation Of Marion County (Indianapolis, IN), Bridge Clinics Behavioral Health LLC (Indianapolis, IN), Eskenazi Medical Group Inc (Indianapolis, IN) and Bridge Clinics LLC (Indianapolis, IN). 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 Samuel Kobba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Kobba accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare and 1 other insurer 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 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.