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

Mrs. Kelsey Renae Namisnak, APRN, FNP-C, CPN

Individual provider Family Nurse Practitioner · NPI 1275267171

Mrs. Kelsey Renae Namisnak, APRN, FNP-C, CPN is a Nurse Practitioner in South Bend, Indiana. Qualified in 2022, 4 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

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Practice location Address checks out

100 Navarre Pl Ste 4440
South Bend, IN 46601-1171
Phone: (574) 647-5300
Fax: (574) 647-5305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1020 High Rd, Bremen, IN 46506-1093 — (574) 309-9967
  • 1815 E Ireland Rd, South Bend, IN 46614-2845 — (574) 647-1700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71013008A (IN)

Record details

NPI number1275267171
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-C , CPN
Sole proprietorNo
NPI enumeratedJuly 15, 2022
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025

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 Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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