Michiana Neurologic Medicine, PC
NPI 1336414499 · Neurology Physician · Mishawaka, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michiana Neurologic Medicine, PC is a Neurology Physician organization in Mishawaka, IN (NPI 1336414499).
Provider details
- NPI number
- 1336414499
- Entity type
- Organization
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Kristl, M.D.(574) 252-7795
- License
- 01037448A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-03-21
- Last updated
- 2026-02-20
- Certified
- 2026-02-20
Frequently asked questions
- What is Michiana Neurologic Medicine, PC's NPI number?
- Michiana Neurologic Medicine, PC's National Provider Identifier (NPI) is 1336414499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michiana Neurologic Medicine, PC?
- Michiana Neurologic Medicine, PC is classified in the NPPES registry as Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Michiana Neurologic Medicine, PC located?
- Michiana Neurologic Medicine, PC's practice location on file with NPPES is 1710 E Day Rd, Mishawaka, IN 46545-4300.
- What is Michiana Neurologic Medicine, PC's phone number?
- The practice phone number listed in the NPPES registry for Michiana Neurologic Medicine, PC is (574) 252-7795.
- Does Michiana Neurologic Medicine, PC accept Medicare?
- Michiana Neurologic Medicine, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Michiana Neurologic Medicine, PC?
- The authorized official listed on Michiana Neurologic Medicine, PC's NPPES record is Kevin Kristl, M.D.. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michiana Neurologic Medicine, PC's NPI active?
- Yes — Michiana Neurologic Medicine, PC's NPI (1336414499) is active in the NPPES registry as of the last update on 2026-02-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.