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

Leslie Nicole Kaniuk, NP

Individual provider Family Nurse Practitioner · NPI 1245065127

Leslie Nicole Kaniuk, NP is a Nurse Practitioner in South Bend, Indiana. Qualified in 2024, 2 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

100 Navarre Pl Ste 4400
South Bend, IN 46601-1100
Phone: (574) 647-2501
Fax: (574) 647-2506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5314 Lincolnway E, Mishawaka, IN 46544-4249 — (574) 647-8542

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71016046A (IN)

Record details

NPI number1245065127
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 3, 2024
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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