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

Emily Peak

Individual provider Family Nurse Practitioner · NPI 1154037398

Emily Peak is a Nurse Practitioner in Granger, Indiana. Qualified in 2022, 4 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2023

Practice location Address checks out

52500 Fir Rd
Granger, IN 46530-8579
Phone: (574) 234-8161
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F05220263 (IN)

Record details

NPI number1154037398
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address211 N Eddy St, South Bend, IN 46617-3096

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Granger