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KELLY FORTUNA RN, APRN, AGNP-C
NPI 1053135830
Nurse Practitioner - Primary Care in Mayfield Heights, OH

Active since November 08, 2024PECOS EnrolledAccepts Medicare Assignment
1295 RANCHLAND DR, MAYFIELD HEIGHTS, OH 44124(216) 386-0106 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Fortuna Rn, Aprn, Agnp-c NPPES

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

KELLY FORTUNA RN, APRN, AGNP-C (NPI 1053135830) is an individual primary care provider in Mayfield Heights, Ohio, licensed in Ohio (APRN.CNP.0038044) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053135830
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKELLY FORTUNACredential: RN, APRN, AGNP-C
Location Address1295 RANCHLAND DRMayfield Heights, OH 44124-1558
Mailing Address1295 Ranchland DrMayfield Heights, OH 44124-1558 · (216) 386-0106
Phone(216) 386-0106
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
✔ NPI 1053135830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in OH · APRN.CNP.0038044
1295 RANCHLAND DR, Mayfield Heights, OH 44124
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 Fortuna Rn, Aprn, Agnp-c 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 ID8820513229
PECOS Enrollment IDI20251104002788
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 Fortuna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Consonant Healing Associates Of De LLC
289 mi
Surgery
909 RIDGEBROOK RD STE 220
Sparks, MD 21152
  • Reassigned Medicare billing, Ohio enrollment
  • 80 clinicians in this Medicare group
NPI 1669099321 (443) 383-9300
Healing Partners Plus PLLC
349 mi
Internal Medicine
2020 CALAMOS CT STE 250
Naperville, IL 60563
  • Reassigned Medicare billing, Ohio enrollment
  • 54 clinicians in this Medicare group
NPI 1063217545 (888) 402-0202

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44124 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Fortuna's NPI number?

The NPI number for Kelly Fortuna is 1053135830. It was assigned to this individual provider in the NPPES registry on November 8, 2024.

Where is Kelly Fortuna located?

Kelly Fortuna practices at 1295 Ranchland Dr, Mayfield Heights, OH 44124. The listed phone number is (216) 386-0106.

What is Kelly Fortuna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Kelly Fortuna enrolled in Medicare?

Yes. Kelly Fortuna 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 Fortuna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Fortuna reassigns Medicare benefits to 2 organizations: Consonant Healing Associates Of De LLC (Sparks, MD) and Healing Partners Plus PLLC (Naperville, IL). 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 Fortuna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Fortuna accept?

Health plans from CareSource list Kelly Fortuna 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.

When was this NPI record last updated?

The NPPES record for Kelly Fortuna was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.