Active NPI
Chaya Kolodny, FNP
- Family Nurse Practitioner
- Mishawaka, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71016903A
- Practice address
- 420 W 4TH St
Mishawaka, IN 46544-1948 - Phone
- (888) 580-1060
- NPI assigned
- Jul 28, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 687958 | NY | |
| Family Nurse Practitioner | 363LF0000X | 71016903A | IN | Primary |
Addresses
Primary practice location
420 W 4TH St
Mishawaka, IN 46544-1948
Mailing address
20 Old Turnpike Rd
Ste 307
Nanuet, NY 10954-2532
Phone (845) 624-0260
Other practice location 1
20 Old Turnpike Rd
ste 307
Nanuet, NY 10954-2532
Phone (845) 624-0260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 687958 | Other | NY | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 W 4TH St
Mishawaka, IN 46544-1948
Phone 57430776734693
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 687958 | NY | MD | Registered Nurse |
| 71016903A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthlinc, Inc | Current | Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients |
Locations
420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300
1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173
2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
- Federally Qualified Health Center (FQHC)
- Morocco, IN
- NPI 1568354116
-
- Federally Qualified Health Center (FQHC)
- Mishawaka, IN
- NPI 1417244989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1134537772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 OLD TURNPIKE RD",
"address_2": "STE 307",
"city": "NANUET",
"state": "NY",
"postal_code": "109542532",
"telephone_number": "845-624-0260",
"fax_number": "845-624-0264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W 4TH ST",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465441948",
"telephone_number": "888-580-1060"
}
],
"practiceLocations": [
{
"address_1": "20 Old Turnpike Rd",
"address_2": "ste 307",
"address_purpose": "LOCATION",
"city": "Nanuet",
"state": "NY",
"postal_code": "109542532",
"country_code": "US",
"telephone_number": "845-624-0260",
"fax_number": "845-624-0264",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOLODNY",
"first_name": "CHAYA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-28",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "687958",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71016903A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "687958",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.