Mrs Jenifer D Coffman, FNP - Medicare Nurse Practitioner in South Bend, IN

Mrs Jenifer D Coffman, FNP is a medicare enrolled "Nurse Practitioner" in South Bend, Indiana. Her current practice location is 5838 W Brick Rd Ste 106, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 247-1911.

Mrs Jenifer D Coffman is licensed to practice in Indiana (license number 71010743A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1336745504.

Contact Information

Mrs Jenifer D Coffman, FNP
5838 W Brick Rd Ste 106,
South Bend, IN 46628-8420
(574) 247-1911
(574) 247-1912

Map and Direction




Provider's Profile

Full NameMrs Jenifer D Coffman
GenderFemale
SpecialityNurse Practitioner
Location5838 W Brick Rd Ste 106, South Bend, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336745504
  • Provider Enumeration Date: 12/11/2020
  • Last Update Date: 02/21/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739552696
  • Enrollment ID: I20230224000976

Medical Identifiers

Medical identifiers for Mrs Jenifer D Coffman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336745504NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 28149680A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 4704369267 (Michigan)Secondary
363L00000XNurse Practitioner 71010743A (Indiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jenifer D Coffman allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366768160
PECOS PAC ID: 9234041948
Enrollment ID: O20090318000016
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190903001552

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jenifer D Coffman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jenifer D Coffman, FNP
Po Box 639295 Dept 93394,
Cincinnati, OH 45263-9295

Ph: (484) 346-1692
Mrs Jenifer D Coffman, FNP
5838 W Brick Rd Ste 106,
South Bend, IN 46628-8420

Ph: (574) 247-1911

Reviews and Comments


Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601
Phone: 574-647-8470    Fax: 574-647-8475
Rachel Ann Jennings, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 615 N Michigan St, South Bend, IN 46601
Phone: 574-647-1000    
Kelly Mae Losiniecki, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 N Eddy St., South Bend, IN 46617
Phone: 574-237-9231    Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 53760 Generations Dr, South Bend, IN 46635
Phone: 888-938-3838    Fax: 888-919-1083
Gina M. Connolly, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601
Phone: 574-647-8800    Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635
Phone: 574-234-2191    
Kendall Hochstedler,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1960 Northside Blvd, South Bend, IN 46615
Phone: 574-307-7673    Fax: 574-234-4706

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.