KAITLYN ANN TELLE CRNA
NPI 1205549870
Nurse Anesthetist, Certified Registered in Fort Wayne, IN

Active since December 28, 2022Accepts Medicare Assignment
5050 N CLINTON ST, FORT WAYNE, IN 46825(260) 484-8551(260) 482-5060 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaitlyn Ann Telle Crna NPPES

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

KAITLYN ANN TELLE CRNA (NPI 1205549870) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28286190A) and active in the NPI registry since December 2022. She is affiliated with Orthopaedic Hospital At Parkview North and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205549870
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKAITLYN ANN TELLECredential: CRNA
Location Address5050 N CLINTON STFort Wayne, IN 46825-5886
Mailing Address5052 N Clinton StFort Wayne, IN 46825-5822 · (260) 408-2203
Fax(260) 482-5060
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 28, 2022
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
NPI 1205549870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in IN · 28286190A
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041.465963 (IL)
5050 N CLINTON ST, Fort Wayne, IN 46825

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

Kaitlyn Ann Telle Crna 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 ID2860839214
PECOS Enrollment IDI20240321002100

Hospital Affiliations CMS Care Compare

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

Orthopaedic Hospital At Parkview North

Acute Care Hospitals · Fort Wayne, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150167
Location11130 Parkview Circle DrFort Wayne, IN 46845 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46825 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

Orthopaedic Surgery
5050 N CLINTON ST
FORT WAYNE, IN 46825
Orthopaedic Surgery (Hand Surgery)
5050 N CLINTON ST
FORT WAYNE, IN 46825
Nurse Anesthetist, Certified Registered
5050 N CLINTON ST
FORT WAYNE, IN 46825
Physician Assistant
5050 N CLINTON ST
FORT WAYNE, IN 46825
Orthopaedic Surgery
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FORT WAYNE, IN 46825
Specialist/Technologist (Athletic Trainer)
5050 N CLINTON ST
FORT WAYNE, IN 46825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205549870, enumerated as an "individual" on December 28, 2022.

The provider is located at 5050 N CLINTON ST FORT WAYNE, IN 46825 and the phone number is (260) 484-8551.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

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

Kaitlyn Telle is affiliated with: ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH.