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KELLY A ANDERSON NP
NPI 1043592033
Nurse Practitioner - Adult Health in Fort Wayne, IN

Active since September 15, 2011PECOS EnrolledAccepts Medicare Assignment
7900 W JEFFERSON BLVD, SUITE 304, FORT WAYNE, IN 46804(260) 969-6200(260) 969-6201 Get Directions Write a Review

NPPES record last updated: January 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1043592033
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKELLY A ANDERSONCredential: NP
Location Address7900 W JEFFERSON BLVD, SUITE 304Fort Wayne, IN 46804-4128
Mailing AddressPo Box 8857Fort Wayne, IN 46898-8857 · (260) 969-6200 · Fax (260) 969-6201
Phone(260) 969-6200
Fax(260) 969-6201
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 15, 2011
Last NPPES UpdateJanuary 13, 2012
✔ NPI 1043592033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71003789A
7900 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Names 1

Former Name (1)Kelly A Brickley

Other Identifiers 2

Medicaid201040960IN
Medicare PINM400058703IN

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

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.

PECOS PAC ID4385818780
PECOS Enrollment IDI20111121000954
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 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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
628 services86 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
434 services76 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
94 services39 patients

Hospital Affiliations CMS Care Compare

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, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Physician 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.

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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$198.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SUSAN M ADAMS-HAYES FNP
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD, SUITE 304
FORT WAYNE, IN 46804
Allen County (260) 969-6200
ABOITE EYE CARE, P.C.
Ophthalmology
7900 W JEFFERSON BLVD, SUITE 305
FORT WAYNE, IN 46804
Allen County (260) 436-2000
CARDIOVASCULAR ASSOCIATES OF NORTHEASTERN INDIANA LLC
Surgery (Vascular Surgery)
7900 W JEFFERSON BLVD, SUITE 303
FT WAYNE, IN 46804
Allen County (260) 436-6098
ALLEN COUNTY RETINAL SURGEONS, P.C.
Ophthalmology
7900 W JEFFERSON BLVD, SUITE 300
FORT WAYNE, IN 46804
Allen County (260) 436-2181
COLON-RECTAL SURGEONS OF FORT WAYNE, PC
Colon & Rectal Surgery
7900 W JEFFERSON BLVD, SUITE 302
FORT WAYNE, IN 46804
Allen County (260) 435-1900
JUSTIN D. BROWN NP
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD, SUITE 201
FORT WAYNE, IN 46804
Allen County (260) 432-2297
KENDALL S. RAY RD
Dietitian, Registered
7900 W JEFFERSON BLVD, SUITE 201
FORT WAYNE, IN 46804
Allen County (260) 432-2297
MELETIOS S. KARAS DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
7900 W JEFFERSON BLVD, SUITE 201
FORT WAYNE, IN 46804
Allen County (260) 432-2297

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.

Is Kelly Anderson affiliated with any hospitals?

According to CMS data, Kelly Anderson is affiliated with Parkview Regional Medical Center.

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.