KELLY A ANDERSON NP
NPI 1043592033
Nurse Practitioner - Adult Health in Fort Wayne, IN
About Kelly A Anderson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY A ANDERSON NP (NPI 1043592033) is an individual adult health provider in Fort Wayne, Indiana, licensed in Indiana (71003789A) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted 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 A Anderson 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Anderson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Toledo, OH 43604
- Reassigned Medicare billing, Indiana enrollment
- 3 clinicians in this Medicare group
Louisville, KY 40222
- Reassigned Medicare billing, Indiana enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parkview Regional Medical Center
Acute Care Hospitals · Fort Wayne, INIndiana University Health
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46804
FT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
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 Anderson's NPI number?
The NPI number for Kelly Anderson is 1043592033. It was assigned to this individual provider in the NPPES registry on September 15, 2011. The provider is also known as Kelly A Brickley.
Where is Kelly Anderson located?
Kelly Anderson practices at 7900 W Jefferson Blvd Suite 304, Fort Wayne, IN 46804. The listed phone number is (260) 969-6200.
What is Kelly Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kelly Anderson enrolled in Medicare?
Yes. Kelly Anderson 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 Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Anderson reassigns Medicare benefits to 2 organizations: Kingston Care Partners, LLC (Toledo, OH) and Trilogy Np, LLC (Louisville, KY). 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 Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Anderson accept?
Health plans from Anthem Blue Cross and Blue Shield list Kelly Anderson 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 Anderson affiliated with any hospitals?
According to CMS data, Kelly Anderson is affiliated with Parkview Regional Medical Center and Indiana University Health.
When was this NPI record last updated?
The NPPES record for Kelly Anderson was last updated on January 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# Kelly A Anderson, NP · NPI 1043592033
Adult Health physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since September 15, 2011.
## Identity
- **NPI:** 1043592033 (Entity type: Individual)
- **Enumerated:** September 15, 2011
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 71003789A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 7900 W JEFFERSON BLVD, SUITE 304, Fort Wayne, IN 46804-4128
- **Phone:** (260) 969-6200 · **Fax:** (260) 969-6201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kingston Care Partners, LLC (NPI 1609185180, Toledo, OH); Trilogy Np, LLC (NPI 1740159151, Louisville, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** January 13, 2012
- **Other identifiers:** Medicaid 201040960 (IN); Medicare PIN M400058703 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1043592033) · Data from the CMS NPPES public registry.