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

Lacy Katowich, FNP

Individual provider Registered Nurse · NPI 1902421076

Lacy Katowich, FNP is a Nurse Practitioner in Mishawaka, Indiana. Qualified in 2020, 6 years ago. Practices with The South Bend Clinic LLC, a 170-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1802 Day Rd
Mishawaka, IN 46545-4329
Phone: (574) 204-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F09201325 (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28151346A (IN)

Record details

NPI number1902421076
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 14, 2020
Last updated in NPPESApril 7, 2023
Certification dateApril 7, 2023
Mailing address1802 Day Rd, Mishawaka, IN 46545-4329

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice The South Bend Clinic Llc — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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