Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Privia Medical Group Indiana, LLC

Organization Family Medicine Physician · NPI 1851497945

Privia Medical Group Indiana, LLC is a Family Medicine Physician in Mishawaka, Indiana. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410 Park Pl Ste A
Mishawaka, IN 46545-3557
Phone: (574) 252-0667
Fax: (574) 807-8845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1851497945
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Boyer — Chief Executive Officer · (574) 296-3200
Other names Narcysia Health Care; Primary Care At Mishawaka
NPI enumeratedSeptember 15, 2006
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address410 Park Pl, Suite A, Mishawaka, IN 46545-3557

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