GERTRUDE MUMBA-KAUNDA – Family Nurse Practitioner, NPI 1093146631
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,161 NURSE PRACTITIONER in MI
Provider Addresses for GERTRUDE MUMBA-KAUNDA
400 Medical Park Dr
Watervliet, MI 490989225
Phone: (734) 464-0887
Fax: (734) 402-0254
Type: Location
8003 CASTLEWAY DR
INDIANAPOLIS, IN 462501946
Phone: (317) 576-1335
Fax: (844) 397-1311
Type: Mailing
1901 W WESTERN AVE
SOUTH BEND, IN 466193569
Phone: (574) 234-9033
Fax: (844) 397-1310
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $601.
Total Amount is formed as General ($601) + Research ($0) + Ownership ($0) = $601.
Last reported payment date: 2024-11-27 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).
Total Amount
$601
General + Research + Ownership
Payments
21
Total payment records
General Amount
$601
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-27
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-04-15
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150415002017 | I | Nurse Practitioner | IN | TBD |
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.
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 49098)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Mental Health Counselor | IN | |
| Mental Health Counselor | IN | |
| Nurse Practitioner | IN | |
| C H I R O P R A C T I C | MO | |
| Nurse Practitioner | IN | |
| Physician Assistant | IN | |
| Family Practice | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.