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HIBAJENE CHISONGA
NPI 1811327943
Nurse Practitioner - Family in South Bend, IN

Active since November 27, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1700 MISHAWAKA AVE, SOUTH BEND, IN 46634(574) 229-9012 Get Directions Write a Review

NPPES record last updated: March 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hibajene Chisonga NPPES

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

HIBAJENE CHISONGA (NPI 1811327943) is an individual family provider in South Bend, Indiana, licensed in Michigan (4704262598) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1811327943
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHIBAJENE CHISONGA
Location Address1700 MISHAWAKA AVESouth Bend, IN 46634-7111
Mailing Address1700 Mishawaka AveSouth Bend, IN 46615-1408
Phone(574) 229-9012
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 27, 2013
Last NPPES UpdateMarch 7, 2019
✔ NPI 1811327943 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
Licenses✔ Licensed in MI · 4704262598✔ Licensed in IN · 28181907A
1700 MISHAWAKA AVE, South Bend, IN 46634
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Hibajene Chisonga 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 ID6103049440
PECOS Enrollment IDI20140514000869
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.

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46634 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA MYERS HIERONYMUS C.A.N.P.
Nurse Practitioner (Adult Health)
1700 MISHAWAKA AVE, STUDENT ACTIVITY CENTER RM 130
SOUTH BEND, IN 46634
St. Joseph County (574) 250-5557

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 Hibajene Chisonga's NPI number?

The NPI number for Hibajene Chisonga is 1811327943. It was assigned to this individual provider in the NPPES registry on November 27, 2013.

Where is Hibajene Chisonga located?

Hibajene Chisonga practices at 1700 Mishawaka Ave, South Bend, IN 46634. The listed phone number is (574) 229-9012.

What is Hibajene Chisonga's specialty?

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

Is Hibajene Chisonga enrolled in Medicare?

Yes. Hibajene Chisonga 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 Hibajene Chisonga accept?

Health plans from Priority Health list Hibajene Chisonga 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.

Is Hibajene Chisonga affiliated with any hospitals?

According to CMS data, Hibajene Chisonga is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Hibajene Chisonga was last updated on March 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.