KELSEY DODD KANNOOKADEN PA-C
NPI 1194313254
Physician Assistant in Decatur, IN

Active since January 05, 2021PECOS EnrolledAccepts Medicare Assignment
1100 MERCER AVE, DECATUR, IN 46733(262) 832-4282 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 18, 2024, Oct 6, 2022, Jan 5, 2021 (3 updates tracked since 2021).

About Kelsey Dodd Kannookaden Pa-c NPPES

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

KELSEY DODD KANNOOKADEN PA-C (NPI 1194313254) is an individual physician assistant in Decatur, Indiana and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Adams Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194313254
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY DODD KANNOOKADENCredential: PA-C
Location Address1100 MERCER AVEDecatur, IN 46733-2303
Mailing Address1100 Mercer AveDecatur, IN 46733-2303
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 5, 2021
Last NPPES UpdateSeptember 18, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
NPI 1194313254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 MERCER AVE, Decatur, IN 46733

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

Kelsey Dodd Kannookaden Pa-c 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 ID1456768225
PECOS Enrollment IDI20210323000200
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services30 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Adams Memorial Hospital

Critical Access Hospitals · Decatur, IN
OwnershipGovernment - Local
CMS Certification Number151330
Location1100 Mercer AveDecatur, IN 46733 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46733 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Physical Therapist
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner (Family)
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner (Family)
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner (Family)
1100 MERCER AVE
DECATUR, IN 46733
Hospitalist
1100 MERCER AVE
DECATUR, IN 46733
Nurse Practitioner
1100 MERCER AVE
DECATUR, IN 46733
Emergency Medicine
1100 MERCER AVE
DECATUR, IN 46733

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 Kelsey Kannookaden's NPI number?

The NPI number for Kelsey Kannookaden is 1194313254. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Kelsey Kannookaden located?

Kelsey Kannookaden practices at 1100 Mercer Ave, Decatur, IN 46733. The listed phone number is (262) 832-4282.

What is Kelsey Kannookaden's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsey Kannookaden enrolled in Medicare?

Yes. Kelsey Kannookaden 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 Kelsey Kannookaden accept?

Health plans from CareSource list Kelsey Kannookaden 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.

Is Kelsey Kannookaden affiliated with any hospitals?

According to CMS data, Kelsey Kannookaden is affiliated with Adams Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Kannookaden was last updated on September 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.