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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. KENNETH FRANCIS RADERSTORF III NP
NPI 1023682416
Nurse Practitioner - Family in Elkhart, IN

Active since May 19, 2021PECOS EnrolledAccepts Medicare Assignment
3301 COUNTY ROAD 6 E, ELKHART, IN 46514(574) 266-5342(574) 266-5847 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Jan 14, 2026, Nov 5, 2024 and 2 more (5 updates tracked since 2021).

About Mr. Kenneth Francis Raderstorf Iii Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH FRANCIS RADERSTORF III NP (NPI 1023682416) is an individual family provider in Elkhart, Indiana, licensed in Indiana (28222082A) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1023682416
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KENNETH FRANCIS RADERSTORF IIICredential: NP
Location Address3301 COUNTY ROAD 6 EElkhart, IN 46514-7673
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (547) 647-3725
Phone(574) 266-5342
Fax(574) 266-5847
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2021
Enumeration DateMay 19, 2021
Last NPPES UpdateJune 25, 20265 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1023682416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28222082A
3301 COUNTY ROAD 6 E, Elkhart, IN 46514
Open in Google Maps ↗

Secondary Practice Locations 6

Location 12222 Rieth Blvd Ste 100Goshen, IN 46526-5869 · Phone (574) 874-1200 · Fax (574) 875-0362
Location 2206 W Warren StMiddlebury, IN 46540-9410 · Phone (574) 358-0042 · Fax (574) 358-0157
Location 31815 E Ireland RdSouth Bend, IN 46614-2845 · Phone (574) 647-1750 · Fax (574) 647-1748
Location 41753 Fulton StElkhart, IN 46514-1927 · Phone (574) 293-9448 · Fax (574) 293-9480
Location 52222 Rieth Blvd Ste 104Goshen, IN 46526-5869 · Phone (574) 875-1082 · Fax (574) 875-3860
Location 66913 N Main StGranger, IN 46530-8039 · Phone (574) 647-1500 · Fax (574) 243-4306

Other Identifiers 1

Medicaid300065926IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth Francis Raderstorf Iii Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022412790
PECOS Enrollment IDI20210803003525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services133 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
100 services98 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
46 services46 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
45 services41 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
42 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID M DYCK MD
Family Medicine
3301 COUNTY ROAD 6 E
ELKHART, IN 46514
Elkhart County (574) 264-9635
CARRIE DANIELS FNP
Nurse Practitioner (Family)
3301 COUNTY ROAD 6 E
ELKHART, IN 46514
Elkhart County (574) 264-9635
SAADIA QASIM M.D.
Family Medicine
3301 COUNTY ROAD 6 E
ELKHART, IN 46514
Elkhart County (574) 264-9635
MS. ANNE K. GRUBER PA-C
Physician Assistant (Medical)
3301 COUNTY ROAD 6 E
ELKHART, IN 46514
Elkhart County (574) 266-5342
CASSANDRA JANE DEWULF FNP-C
Internal Medicine
3301 COUNTY ROAD 6 E
ELKHART, IN 46514
Elkhart County (574) 264-3561
JEFFREY L. CAIN M.D.
Obstetrics & Gynecology
3301 COUNTY ROAD 6 E
ELKHART, IN 46514
Elkhart County (574) 264-9635
RACHEL M KRATZER FNP
Nurse Practitioner (Family)
3301 COUNTY ROAD 6 E, STE 100
ELKHART, IN 46514
Elkhart County (574) 266-5342
DR. MICHELLE R HOWE M.D.
Family Medicine
3301 COUNTY ROAD 6 E
ELKHART, IN 46514
Elkhart County (574) 266-5342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Raderstorf's NPI number?

The NPI number for Kenneth Raderstorf is 1023682416. It was assigned to this individual provider in the NPPES registry on May 19, 2021.

Where is Kenneth Raderstorf located?

Kenneth Raderstorf practices at 3301 County Road 6 E, Elkhart, IN 46514. The listed phone number is (574) 266-5342.

What is Kenneth Raderstorf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenneth Raderstorf enrolled in Medicare?

Yes. Kenneth Raderstorf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Raderstorf accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Kenneth Raderstorf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Raderstorf affiliated with any hospitals?

According to CMS data, Kenneth Raderstorf is affiliated with Elkhart General Hospital and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Kenneth Raderstorf was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 45 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.