KELSEA KAY LEROSE NP
NPI 1124629936
Nurse Practitioner in Fort Wayne, IN

Active since November 06, 2020PECOS EnrolledAccepts Medicare Assignment
81.23/100
CMS Quality Rating
11123 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 425-6650 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 14, 2022, Feb 4, 2021, Jan 25, 2021 and 1 more (4 updates tracked since 2020).

About Kelsea Kay Lerose Np NPPES

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

KELSEA KAY LEROSE NP (NPI 1124629936) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71010736A) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124629936
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELSEA KAY LEROSECredential: NP
Location Address11123 PARKVIEW PLAZA DRFort Wayne, IN 46845-1707
Mailing Address11109 Parkview Plaza DrFort Wayne, IN 46845-1701
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 6, 2020
Last NPPES UpdateOctober 14, 20224 updates tracked since enumeration
NPPES CertifiedOctober 14, 2022
NPI 1124629936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71010736A
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 28222424A (IN)
11123 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

Accepted 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

Kelsea Kay Lerose Np 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 ID8628482742
PECOS Enrollment IDI20210202001213
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

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
$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.

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 20

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

Clinic/Center (Medical Specialty)
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 204
FT WAYNE, IN 46845
Counselor (Mental Health)
11123 PARKVIEW PLAZA DR, SUITE 200
FORT WAYNE, IN 46845
Pediatrics (Pediatric Infectious Diseases)
11123 PARKVIEW PLAZA DR, STE # 102
FORT WAYNE, IN 46845
Physician Assistant
11123 PARKVIEW PLAZA DR, # 102
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11123 PARKVIEW PLAZA DR, SUITE 101
FORT WAYNE, IN 46845
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11123 PARKVIEW PLAZA DR, SUITE 202
FORT WAYNE, IN 46845
Specialist
11123 PARKVIEW PLAZA DR, SUITE 2
FORT WAYNE, IN 46845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124629936, enumerated as an "individual" on November 06, 2020.

The provider is located at 11123 PARKVIEW PLAZA DR FORT WAYNE, IN 46845 and the phone number is (260) 425-6650.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: CareSource. Please consult your insurance carrier or call the provider to verify.

Kelsea Lerose is affiliated with: PARKVIEW REGIONAL MEDICAL CENTER.