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

Hibajene Chisonga

Individual provider Family Nurse Practitioner · NPI 1811327943

Hibajene Chisonga is a Nurse Practitioner in South Bend, Indiana. Qualified in 2013, 13 years ago. Practices with Lakeland Medical Practices, a 287-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
13
Licensed in
IN, MI
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

1700 Mishawaka Ave
South Bend, IN 46634-7111
Phone: (574) 229-9012
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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 4704262598 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28181907A (IN)

Record details

NPI number1811327943
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 27, 2013
Last updated in NPPESMarch 7, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lakeland Medical Practices — 287 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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