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MCKINZIE GALE EDSTENE PTA, CPNP
NPI 1073121091
Nurse Practitioner - Pediatrics in New Castle, IN

Active since July 15, 2020PECOS Enrolled
930 N 14TH ST, NEW CASTLE, IN 47362(765) 521-2450(765) 593-6001 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2026, Jul 15, 2020 (2 updates tracked since 2020).

About Mckinzie Gale Edstene Pta, Cpnp NPPES

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

MCKINZIE GALE EDSTENE PTA, CPNP (NPI 1073121091) is an individual pediatrics provider in New Castle, Indiana, licensed in Indiana (71018473A) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1073121091
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMCKINZIE GALE EDSTENECredential: PTA, CPNP
Location Address930 N 14TH STNew Castle, IN 47362-4311
Mailing Address240 N Tillotson AveMuncie, IN 47304-3988 · (765) 288-1928 · Fax (765) 741-0335
Phone(765) 521-2450
Fax(765) 593-6001
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJuly 15, 2020
Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
✔ NPI 1073121091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IN · 71018473A
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License 06005891A (IN)
930 N 14TH ST, New Castle, IN 47362
Open in Google Maps ↗

Secondary Practice Location 1

Location 18905 Evergreen AveIndianapolis, IN 46240-2000 · Phone (317) 571-1250

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckinzie Gale Edstene Pta, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345708301
PECOS Enrollment IDI20260819004273
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 Reassignment

Medicare enrollment records show Mckinzie Edstene reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Meridian Health Services Corp
Same address
Federally Qualified Health Center (FQHC)
930 N 14TH ST
New Castle, IN 47362
  • Reassigned Medicare billing, Indiana enrollment
  • 322 clinicians in this Medicare group
NPI 1780051136 (765) 288-1928

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 47362 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 20

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

DEBORAH POLSTON
Behavior Technician
930 N 14TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-2450
DARCI A WILSON MA
Counselor (Mental Health)
930 N 14TH ST
NEW CASTLE, IN 47362
Henry County (765) 288-1928
ADRIENNE BEDFORD MD
Family Medicine
930 N 14TH ST
NEW CASTLE, IN 47362
Henry County (765) 288-1928
SHANNA L AMMERMAN MA
Counselor (Mental Health)
930 N 14TH ST
NEW CASTLE, IN 47362
Henry County (765) 288-1928
NANCY MCCAULEY MSW, LCSW, ACSW
Social Worker (Clinical)
930 N 14TH ST
NEW CASTLE, IN 47362
Henry County (765) 288-1928
LAURA E CLARKE NP
Nurse Practitioner
930 N 14TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-2450
MATTHEW DAVIS MSW
Counselor (Mental Health)
930 N 14TH ST
NEW CASTLE, IN 47362
Henry County (765) 288-1928
KATIE DANIELS
Behavior Technician
930 N 14TH ST
NEW CASTLE, IN 47362
Henry County (765) 521-2450

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 Mckinzie Edstene's NPI number?

The NPI number for Mckinzie Edstene is 1073121091. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Mckinzie Edstene located?

Mckinzie Edstene practices at 930 N 14th St, New Castle, IN 47362. The listed phone number is (765) 521-2450.

What is Mckinzie Edstene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Mckinzie Edstene enrolled in Medicare?

Yes. Mckinzie Edstene is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mckinzie Edstene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckinzie Edstene reassigns Medicare benefits to Meridian Health Services Corp (New Castle, IN). The 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 Mckinzie Edstene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mckinzie Edstene accept?

Health plans from Anthem Blue Cross and Blue Shield list Mckinzie Edstene 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 Mckinzie Edstene was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.