KAITLYN NICOLE DERVENIS NP
NPI 1023879376
Nurse Practitioner - Family in Noblesville, IN

Active since January 23, 2024PECOS EnrolledAccepts Medicare Assignment
493 WESTFIELD RD, NOBLESVILLE, IN 46060(317) 848-0361 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 30, 2024, Apr 22, 2024 (2 updates tracked since 2024).

About Kaitlyn Nicole Dervenis Np NPPES

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

KAITLYN NICOLE DERVENIS NP (NPI 1023879376) is an individual family provider in Noblesville, Indiana, licensed in Indiana (71015363A) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Riverview Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1023879376
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAITLYN NICOLE DERVENISCredential: NP
Location Address493 WESTFIELD RDNoblesville, IN 46060-1303
Mailing Address5889 Sandalwood DrCarmel, IN 46033-8216 · (317) 363-9788
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 23, 2024
Last NPPES UpdateSeptember 30, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2024
NPI 1023879376 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 · 71015363A
493 WESTFIELD RD, Noblesville, IN 46060

Accepted 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

Kaitlyn Nicole Dervenis 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 ID2567907942
PECOS Enrollment IDI20240710000469
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 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
73 services64 patients
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.
64 services57 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.
35 services31 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
30 services30 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Riverview Health

Acute Care Hospitals · Noblesville, IN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150059
Location395 Westfield RdNoblesville, IN 46060 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46060 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 2

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

Counselor (Mental Health)
493 WESTFIELD RD, B
NOBLESVILLE, IN 46060
Counselor
493 WESTFIELD RD, B
NOBLESVILLE, IN 46060

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 Kaitlyn Dervenis's NPI number?

The NPI number for Kaitlyn Dervenis is 1023879376. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Kaitlyn Dervenis located?

Kaitlyn Dervenis practices at 493 Westfield Rd, Noblesville, IN 46060. The listed phone number is (317) 848-0361.

What is Kaitlyn Dervenis's specialty?

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

Is Kaitlyn Dervenis enrolled in Medicare?

Yes. Kaitlyn Dervenis 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 Kaitlyn Dervenis accept?

Health plans from CareSource and UnitedHealthcare list Kaitlyn Dervenis 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 Kaitlyn Dervenis affiliated with any hospitals?

According to CMS data, Kaitlyn Dervenis is affiliated with Riverview Health.

When was this NPI record last updated?

The NPPES record for Kaitlyn Dervenis was last updated on September 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.