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DR. KELLY STEWART HUTNER PSY.D., HSPP
NPI 1053628248
Psychologist - Clinical in Fort Wayne, IN

Active since September 09, 2010PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11143 PARKVIEW PLAZA DR STE 320, FORT WAYNE, IN 46845(260) 266-5370(260) 266-5379 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 11, 2022, Sep 18, 2018, Feb 3, 2016 (3 updates tracked since 2016).

About Dr. Kelly Stewart Hutner Psy.d., Hspp NPPES

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

DR. KELLY STEWART HUTNER PSY.D., HSPP (NPI 1053628248) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (20041507A) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1053628248
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KELLY STEWART HUTNERCredential: PSY.D., HSPP
Location Address11143 PARKVIEW PLAZA DR STE 320Fort Wayne, IN 46845-1728
Mailing Address3702 New Vision Dr Bldg BFort Wayne, IN 46845-1703
Phone(260) 266-5370
Fax(260) 266-5379
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 9, 2010
Last NPPES UpdateOctober 11, 20223 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
✔ NPI 1053628248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IN · 20041507A
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
11143 PARKVIEW PLAZA DR STE 320, Fort Wayne, IN 46845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Kelly Stewart Hutner Psy.d., Hspp 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 ID2567713431
PECOS Enrollment IDI20180927001701
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

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.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
110 services110 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

Other Providers at the Same Location NPPES 3

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

HEATHER SUE BLEEKE PSYD
Psychologist
11143 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN 46845
Allen County (260) 266-5370
AMY HARDIEK
Counselor (Mental Health)
11143 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN 46845
Allen County (260) 266-5370
JANA REESE
Nurse Practitioner
11143 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN 46845
Allen County (260) 266-5730

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 Hutner's NPI number?

The NPI number for Kelly Hutner is 1053628248. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Where is Kelly Hutner located?

Kelly Hutner practices at 11143 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845. The listed phone number is (260) 266-5370.

What is Kelly Hutner's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kelly Hutner enrolled in Medicare?

Yes. Kelly Hutner 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 Kelly Hutner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Kelly Hutner 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 Hutner was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.