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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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: September 06, 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 and maintains a secondary practice location in Indianapolis.

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
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
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Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

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 38 days 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.