Michiana Nutrition and Diabetes Education LLC
NPI 1619604410 · Health Service Clinic/Center · South Bend, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michiana Nutrition and Diabetes Education LLC is a Health Service Clinic/Center organization in South Bend, IN (NPI 1619604410).
Provider details
- NPI number
- 1619604410
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Anouk Shelton, Registered Dietitian(815) 342-6205
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
- 2022-08-02
- Last updated
- 2022-10-25
- Certified
- 2022-10-25
Frequently asked questions
- What is Michiana Nutrition and Diabetes Education LLC's NPI number?
- Michiana Nutrition and Diabetes Education LLC's National Provider Identifier (NPI) is 1619604410, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michiana Nutrition and Diabetes Education LLC?
- Michiana Nutrition and Diabetes Education LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Michiana Nutrition and Diabetes Education LLC located?
- Michiana Nutrition and Diabetes Education LLC's practice location on file with NPPES is 300 S Saint Louis Blvd, South Bend, IN 46617-3043.
- What is Michiana Nutrition and Diabetes Education LLC's phone number?
- The practice phone number listed in the NPPES registry for Michiana Nutrition and Diabetes Education LLC is (574) 301-5205.
- Does Michiana Nutrition and Diabetes Education LLC accept Medicare?
- Michiana Nutrition and Diabetes Education LLC 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 Nutrition and Diabetes Education LLC?
- The authorized official listed on Michiana Nutrition and Diabetes Education LLC's NPPES record is Anouk Shelton, Registered Dietitian. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michiana Nutrition and Diabetes Education LLC's NPI active?
- Yes — Michiana Nutrition and Diabetes Education LLC's NPI (1619604410) is active in the NPPES registry as of the last update on 2022-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.