Active NPI
Bancy Mwangi, FNP-BC
- Family Nurse Practitioner
- South Bend, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2023151887
- Practice address
- 53779 Generations Dr Ste D
South Bend, IN 46635-1577 - Phone
- (574) 383-8072
- NPI assigned
- Jan 5, 2024
- Last updated
- Jul 29, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2023151887 | IN | Primary |
Addresses
Primary practice location
53779 Generations Dr Ste D
South Bend, IN 46635-1577
Mailing address
53779 Generations Dr Ste D
South Bend, IN 46635-1577
Phone (574) 383-8072
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 N Nappanee St
Elkhart, IN 46514-2066
Phone 57429632003973
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023151887 | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Indiana, LLC | Current | Accepting new patients | |
| Honor Physicians, LLC | Current | Accepting new patients | |
| Privia Medical Group Indiana, LLC | Family | Current | Accepting new patients |
Locations
2222 W Lexington Ave
#B
Elkhart, IN 46514
Phone (219) 206-8777
303 S Nappanee St
Elkhart, IN 46514
6915 N Fir Rd
Granger, IN 46530
Phone (574) 234-2191
3809 N Main St
Ste 100
Mishawaka, IN 46545
Phone (574) 520-1700
Interoperability endpoints
- bancy.mwangi.1@31626.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Elkhart, IN
- NPI 1013912286
-
- Pain Medicine Physician
- South Bend, IN
- NPI 1568305605
-
dba Advanced Internal Medicine of Michiana, LLC
- Primary Care Clinic/Center
- Mishawaka, IN
- NPI 1194288860
-
- Family Nurse Practitioner
- Wakarusa, IN
- NPI 1568147809
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1023965795
-
- General Acute Care Hospital
- Mishawaka, IN
- NPI 1841245594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1427828854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53779 GENERATIONS DR STE D",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351577",
"telephone_number": "574-383-8072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53779 GENERATIONS DR STE D",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466351577",
"telephone_number": "574-383-8072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MWANGI",
"first_name": "BANCY",
"name_prefix": "Dr.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-05",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "2023151887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.