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KELLY POLLARD AGACNP
NPI 1033904396
Nurse Practitioner - Acute Care in Portage, IN

Active since April 09, 2025PECOS EnrolledAccepts Medicare Assignment
3156 WILLOWCREEK RD, PORTAGE, IN 46368(219) 762-9444(219) 762-2288 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Mar 9, 2026, Apr 9, 2025 (3 updates tracked since 2025).

About Kelly Pollard Agacnp NPPES

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

KELLY POLLARD AGACNP (NPI 1033904396) is an individual acute care provider in Portage, Indiana, licensed in Indiana (71016393A) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1033904396
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLY POLLARDCredential: AGACNP
Location Address3156 WILLOWCREEK RDPortage, IN 46368-4424
Mailing Address213 Fairchild DrBurns Harbor, IN 46304-9227 · (219) 331-4734
Phone(219) 762-9444
Fax(219) 762-2288
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 9, 2025
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1033904396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in IN · 71016393A
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71016393A (IN)
3156 WILLOWCREEK RD, Portage, IN 46368
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Pollard Agacnp 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 ID6305363342
PECOS Enrollment IDI20250503000060
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kelly Pollard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

24 On Physician Partners, PC
5.2 mi
Hospitalist
1500 S LAKE PARK AVE
Hobart, IN 46342
  • Reassigned Medicare billing, Indiana enrollment
  • 44 clinicians in this Medicare group
NPI 1013497106 (800) 923-2247
The Methodist Hospitals, Inc
9.5 mi
Internal Medicine
2269 W 25TH AVE
Gary, IN 46404
  • Reassigned Medicare billing, Indiana enrollment
  • 201 clinicians in this Medicare group
NPI 1720290349 (219) 884-2400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46368 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 12

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

WILLOW CREEK MEDICAL LLC
Internal Medicine
3156 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 762-4999
J S MIDMORE MD PC
Physical Medicine & Rehabilitation (Pain Medicine)
3156 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 547-5999
KAJAL B PATEL APRN
Nurse Practitioner (Adult Health)
3156 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 762-9444
GAURAV KUMAR M.D.
Internal Medicine (Pulmonary Disease)
3156 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 762-9444
JOHN STEVEN MIDMORE MD
Physical Medicine & Rehabilitation
3156 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 548-5999
MEDICAL ASSOCIATES OF NWI LLC
Internal Medicine (Pulmonary Disease)
3156 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 762-4999
ROBERT T. ANG, M.D.
Psychiatry & Neurology (Neurology)
3156 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 662-2224
MRS. JENNIFER LEIGH DEFAUW
Nurse Practitioner
3156 WILLOWCREEK RD
PORTAGE, IN 46368
Porter County (219) 762-9444

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 Kelly Pollard's NPI number?

The NPI number for Kelly Pollard is 1033904396. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Kelly Pollard located?

Kelly Pollard practices at 3156 Willowcreek Rd, Portage, IN 46368. The listed phone number is (219) 762-9444.

What is Kelly Pollard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kelly Pollard enrolled in Medicare?

Yes. Kelly Pollard 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.

Which organizations bill Medicare for Kelly Pollard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Pollard reassigns Medicare benefits to 2 organizations: 24 On Physician Partners, PC (Hobart, IN) and The Methodist Hospitals, Inc (Gary, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Pollard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Pollard accept?

Health plans from CareSource list Kelly Pollard 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 Kelly Pollard affiliated with any hospitals?

According to CMS data, Kelly Pollard is affiliated with Methodist Hospitals Inc and St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Kelly Pollard was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.