LAURA KANYIMBO DNP
NPI 1811744931
Nurse Practitioner - Family in South Bend, IN

Q: What is Laura Kanyimbo's NPI number?

The NPI number for Laura Kanyimbo is 1811744931. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Q: What is Laura Kanyimbo'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 Laura Kanyimbo was last updated on July 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 06, 2024PECOS EnrolledAccepts Medicare Assignment

610 N MICHIGAN ST STE 400, SOUTH BEND, IN 46601(574) 647-8120(574) 647-8111 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 19, 2024, May 6, 2024 (2 updates tracked since 2024).

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About Laura Kanyimbo Dnp NPPES

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

LAURA KANYIMBO DNP (NPI 1811744931) is an individual family provider in South Bend, Indiana, licensed in Indiana (71015198A) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1811744931

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAURA KANYIMBOCredential: DNP

Location Address610 N MICHIGAN ST STE 400South Bend, IN 46601-1081

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2129

Phone(574) 647-8120

Fax(574) 647-8111

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMay 6, 2024

Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1811744931 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 · 71015198A

610 N MICHIGAN ST STE 400, South Bend, IN 46601

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Secondary Practice Location 1

Location 1610 N Michigan St Ste 306South Bend, IN 46601-1079 · Phone (574) 647-6500 · Fax (574) 647-6518

Other Identifiers 1

Medicaid300092847IN

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

Laura Kanyimbo Dnp 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 ID9133665870

PECOS Enrollment IDI20240718001926

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

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.

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.

40 services39 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150058

Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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 19

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

REBECCA M CASTRO FNP-BC

Nurse Practitioner (Family)