Jenifer D Coffman, FNP
Individual provider Active NPI Nurse Practitioner · South Bend, IN
NPI 1336745504 · NPPES record last updated Feb 5, 2026
Key facts
- NPI
- 1336745504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 71010743A (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Vpa PC
Powerback Rehabilitation LLC
Osh-in Physicians Group PC
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
- Seasons Home Health Care
- Elara Caring
- Elara Caring
- Saint Joseph Regional Medical Center
- Lakeland Hospital, St Joseph
- Memorial Hospital of South Bend
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230224000976 | IN | Practitioner - Nurse Practitioner | 9739552696 | Reassigns benefits to 1 organization |
| I20230224001125 | MI | Practitioner - Nurse Practitioner | 9739552696 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71010743A | IN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh-in Physicians Group, PC | Nurse Practitioner | Current |
Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current |
Accepting new patients | |
| Vpa PC | Past | Accepting new patients | |
| Oak Street Health Physicians Group, PC | Nurse Practitioner | Past | Accepting new patients |
Locations
9001 Wesleyan Rd
Ste 100
Indianapolis, IN 46268
Phone (317) 497-5530
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
- jenifer.coffman.1@32913.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704369267 | MI | |
| Nurse Practitioner | 363L00000X | 28149680A | IN | |
| Nurse Practitioner | 363L00000X | 71010743A | IN | Yes |
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
422 W McKinley Ave Ste B
Mishawaka, IN 46545-5522
Phone (574) 666-2571
Other practice location 3
2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Phone (269) 349-8386
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jenifer.coffman@trinity-health.org | Direct |
Other providers in South Bend, IN
- Susan Marie Cocquyt
- John Coddington
- Deidre A Coffey
- Margaret Coffey
- Phillip Coffey
- Joel N Cohen
- Richard Cohen
- Cole Vision Corproation
- Mary Elaine Cole
- Brittany Coleman
All providers in South Bend, IN · Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.