Individual provider Active NPI

Jenifer D Coffman, FNP

  • Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1336745504
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71010743A Issued in IN
Practice address
5838 W Brick Rd Ste 106
South Bend, IN 46628-8420
Phone
(574) 247-1911
Fax
(574) 247-1912
NPI assigned
Dec 11, 2020
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704369267 MI
Nurse Practitioner 363L00000X 28149680A IN
Nurse Practitioner 363L00000X 71010743A IN Primary

Addresses

Primary practice location

5838 W Brick Rd Ste 106
South Bend, IN 46628-8420

Mailing address

PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (484) 346-1692

Other practice location 1

250 E Day Rd
Mishawaka, IN 46545-3471
Phone (574) 247-8700 ext. 8718

Other practice location 2

2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Phone (269) 349-8386

Other practice location 3

422 W McKinley Ave Ste B
Mishawaka, IN 46545-5522
Phone (574) 666-2571

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jenifer.coffman@trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230224000976 IN Practitioner - Nurse Practitioner 9739552696 Reassigns benefits to 1 organization
I20230224001125 MI Practitioner - Nurse Practitioner 9739552696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Osh-in Physicians Group PCGroup PAC ID 6800100512, 62 clinicians

Practice addresses (Care Compare)

Portage, MI 49002
Phone (269) 349-8386

3951 W Milham Ave
Portage, MI 49024-1088
Phone (269) 447-1689

422 W McKinley Ave
Suite B
Mishawaka, IN 46545-5522
Phone (574) 666-2573

5838 W Brick Rd
Suite 106
South Bend, IN 46628-8420
Phone (216) 678-4599

5926 Crawfordsville Rd
B
Speedway, IN 46224-3722
Phone (317) 653-2730

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28149680AINMDNurse Practitioner
71010743AINMDNurse Practitioner
4704369267MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-in Physicians Group, PC Nurse Practitioner CurrentSince Mar 1, 2026 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Dec 13, 2022 Accepting new patients
Oak Street Health Physicians Group, PC Nurse Practitioner Past Accepting new patients
Vpa PC Past Accepting new patients

Locations

422 W McKinley Ave
Ste B
Mishawaka, IN 46545
Phone (574) 666-2571

5838 W Brick Rd
Ste 106
South Bend, IN 46628
Phone (574) 247-1911

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

Interoperability endpoints

  • Direct secure messaging: jenifer.coffman.1@32913.direct.athenahealth.com
  • Direct secure messaging: jenifer.coffman@trinity-health.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1336745504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639295 DEPT 93394",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639295",
            "telephone_number": "484-346-1692",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 W BRICK RD STE 106",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466288420",
            "telephone_number": "574-247-1911",
            "fax_number": "574-247-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Day Rd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465453471",
            "country_code": "US",
            "telephone_number": "574-247-8700 x8718",
            "fax_number": "574-364-0675",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2725 Airview Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490021804",
            "country_code": "US",
            "telephone_number": "269-349-8386",
            "fax_number": "269-349-8397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 W McKinley Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465455522",
            "country_code": "US",
            "telephone_number": "574-666-2571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "JENIFER",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704369267",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28149680A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71010743A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jenifer.coffman@trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "250 E Day Rd",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465453471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.