MISS KORI B ENGDAHL (CNM, MSN) – Advanced Practice Midwife, NPI 1518262807

MISS KORI B ENGDAHL (CNM, MSN) is a healthcare provider. based in Auburn, Indiana. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials CNM, MSN. They hold a License No. 28160840A (IN). The NPI Number for MISS KORI B ENGDAHL (CNM, MSN) is 1518262807

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MISS KORI B ENGDAHL (CNM, MSN)
NPI
1518262807
Phone
(260) 927-0035
Address
1310 EAST 7TH STREET
Enumeration Date
18 January 2011
Last Update Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604346076
Graduation Year
2004 (22 years ago)
PAC ID
8123475118
Group Practice PAC ID
4981751617
Professional Enrollment ID
I20231113003155
Address ID
IN468251608FO2516XRDXX400

Contacts

Secure Messaging
kori.engdahl@lutheranhealthnetwork.cernerdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

140 CERTIFIED NURSE MIDWIFE (CNM) in IN

Provider Addresses for MISS KORI B ENGDAHL (CNM, MSN)

  • 1310 EAST 7TH STREET

    SUITE M

    AUBURN, IN 46706

    Phone: (260) 927-0035

    Fax: (260) 927-0036

    Type: Mailing

  • 6920 POINTE INVERNESS WAY STE 200

    FORT WAYNE, IN 468047934

    Phone: (260) 927-0035

    Fax: (260) 927-0036

    Type: Mailing

  • 510 SMALTZ WAY

    AUBURN, IN 467060612

    Phone: (260) 927-0035

    Fax: (260) 927-0036

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Astellas Pharma US Inc ($26).

Total Amount

$79

General + Research + Ownership

Payments

4

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231113003155ICertified Nurse Midwife (Cnm)INTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46706)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981751617View full group profile
NameSpecialtyState
Infectious DiseaseIN
-IN
Family PracticeIN
Nurse PractitionerIN
U R O L O G YMI
Internal MedicineIN
-IN
Nurse PractitionerIN
Cardiovascular Disease (Cardiology)IN
Family PracticeIN

Reviews

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Frequently asked questions

Does MISS KORI B ENGDAHL (CNM, MSN) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MISS KORI B ENGDAHL (CNM, MSN) uses 1518262807.
Is MISS KORI B ENGDAHL (CNM, MSN) still practicing?
MISS KORI B ENGDAHL (CNM, MSN) is currently listed as active in the public NPI registry.
What taxonomy line describes MISS KORI B ENGDAHL (CNM, MSN)?
For research purposes, treat MISS KORI B ENGDAHL (CNM, MSN) as Advanced Practice Midwife in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MISS KORI B ENGDAHL (CNM, MSN)?
MISS KORI B ENGDAHL (CNM, MSN)'s geographic hint is Auburn, Indiana in our summary view.
Is the information about MISS KORI B ENGDAHL (CNM, MSN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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