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KATELYN KUNDERT
NPI 1104289701
Social Worker in Moraine, OH

Active since March 31, 2016PECOS Enrolled
3095 KETTERING BLVD., MORAINE, OH 45439(937) 534-1591 Get Directions Write a Review

NPPES record last updated: March 31, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Katelyn Kundert NPPES

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

KATELYN KUNDERT (NPI 1104289701) is an individual social worker in Moraine, Ohio, licensed in Ohio (1502450) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104289701
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKATELYN KUNDERT
Location Address3095 KETTERING BLVD.Moraine, OH 45439-1982
Mailing Address3095 Kettering BlvdMoraine, OH 45439-1983 · (937) 534-1591
Phone(937) 534-1591
Sole ProprietorYes
Enumeration DateMarch 31, 2016
✔ NPI 1104289701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in OH · 1502450
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3095 KETTERING BLVD., Moraine, OH 45439
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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 (PECOS)

Katelyn Kundert 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.

Medicare Billing Reassignment

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

Five Rivers Health Centers
2.2 mi
Family Medicine
721 MIAMI CHAPEL RD
Dayton, OH 45417
  • Reassigned Medicare billing, Ohio enrollment
  • 85 clinicians in this Medicare group
NPI 1669143061 (937) 208-8585

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

Other Providers at the Same Location NPPES 4

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

MELISA D. ANDREWS LPCC
Counselor (Mental Health)
3095 KETTERING BLVD.
DAYTON, OH 45439
Montgomery County (937) 293-8300
MS. BARBARA LYNN KEEN-MARSH MSW, LISW-S, LICDC
Social Worker (Clinical)
3095 KETTERING BLVD.
DAYTON, OH 45439
Montgomery County (937) 293-8300
AMBER C. WEBB QMHS
Case Manager/Care Coordinator
3095 KETTERING BLVD.
DAYTON, OH 45439
Montgomery County (937) 293-8300
PRESLEY ELIZABETH TRURAN BA, QMHS
Case Manager/Care Coordinator
3095 KETTERING BLVD.
DAYTON, OH 45439
Montgomery County (937) 293-8300

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 Katelyn Kundert's NPI number?

The NPI number for Katelyn Kundert is 1104289701. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Katelyn Kundert located?

Katelyn Kundert practices at 3095 Kettering Blvd., Moraine, OH 45439. The listed phone number is (937) 534-1591.

What is Katelyn Kundert's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Katelyn Kundert enrolled in Medicare?

Yes. Katelyn Kundert is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katelyn Kundert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelyn Kundert reassigns Medicare benefits to Five Rivers Health Centers (Dayton, OH). 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 Katelyn Kundert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katelyn Kundert accept?

Health plans from CareSource list Katelyn Kundert 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 Katelyn Kundert was last updated on March 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.