PRIVIA MEDICAL GROUP INDIANA, LLC
NPI 1851497945
Clinic/Center - Multi-Specialty in Mishawaka, IN

Q: What is Privia Medical Group Indiana, LLC's NPI number?

The NPI number for Privia Medical Group Indiana, LLC is 1851497945. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is also known as Narcysia Health Care and Primary Care at Mishawaka.

Q: What is Privia Medical Group Indiana, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since September 15, 2006

410 PARK PL STE A, MISHAWAKA, IN 46545(574) 252-0667(574) 807-8845 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, May 8, 2019 (2 updates tracked since 2019).

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About Privia Medical Group Indiana, Llc NPPES

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

PRIVIA MEDICAL GROUP INDIANA, LLC (NPI 1851497945) is a healthcare organization registered as a multi-specialty in Mishawaka, Indiana and active in the NPI registry since September 2006. The organization lists Kevin R Boyer, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1851497945

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePRIVIA MEDICAL GROUP INDIANA, LLC

Location Address410 PARK PL STE AMishawaka, IN 46545-3557

Mailing Address410 Park Pl, Suite AMishawaka, IN 46545-3557 · (574) 252-0667 · Fax (574) 807-8845

Phone(574) 252-0667

Fax(574) 807-8845

Organization SubpartNo

Authorized OfficialKevin R BoyerChief Executive Officer · (574) 296-3200

Enumeration DateSeptember 15, 2006

Last NPPES UpdateMay 12, 20252 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1851497945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedFamily MedicineTaxonomy 207Q00000X

410 PARK PL STE A, Mishawaka, IN 46545

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Other Names 2

Other NameNarcysia Health Care

Other NamePrimary Care At Mishawaka

Other Identifiers 1

Medicaid100466600IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Privia Medical Group Indiana, LLC's NPI number?

The NPI number for Privia Medical Group Indiana, LLC is 1851497945. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is also known as Narcysia Health Care and Primary Care at Mishawaka.

Where is Privia Medical Group Indiana, LLC located?

Privia Medical Group Indiana, LLC is located at 410 Park Pl Ste A, Mishawaka, IN 46545. The listed phone number is (574) 252-0667.

What is Privia Medical Group Indiana, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Privia Medical Group Indiana, LLC was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.