INTEGUMED LLC
NPI 1306569546
Family Medicine in Kokomo, IN

Q: What is Integumed LLC's NPI number?

The NPI number for Integumed LLC is 1306569546. It was assigned to this organization in the NPPES registry on September 22, 2022.

Q: What is Integumed LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Integumed LLC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since September 22, 2022

194 E SOUTHWAY BLVD, KOKOMO, IN 46902(765) 485-1814(765) 316-7962 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2025, Dec 27, 2024, May 17, 2023 and 1 more (4 updates tracked since 2022).

On this page

About Integumed Llc NPPES

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

INTEGUMED LLC (NPI 1306569546) is a healthcare organization registered as a family medicine in Kokomo, Indiana and active in the NPI registry since September 2022. The organization maintains 3 additional practice locations and lists Kellee E Perry, Owner, as its authorized official.

NPPES Registry Identity

NPI1306569546

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameINTEGUMED LLC

Location Address194 E SOUTHWAY BLVDKokomo, IN 46902-3650

Mailing Address12315 Hancock St Ste 24Carmel, IN 46032-5885 · (317) 708-3732 · Fax (888) 316-7962

Phone(765) 485-1814

Fax(765) 316-7962

Organization SubpartNo

Authorized OfficialKellee E PerryOwner · (765) 251-3987

Enumeration DateSeptember 22, 2022

Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1306569546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse PractitionerTaxonomy 363L00000X

194 E SOUTHWAY BLVD, Kokomo, IN 46902

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Secondary Practice Locations 3

Location 1606 E Grant StMarion, IN 46952-2950 · Phone (765) 251-3987 · Fax (888) 316-7962

Location 21958 W BoulevardKokomo, IN 46902-6078 · Phone (765) 485-1814

Location 3239 Ash St Ste BTipton, IN 46072-1752 · Phone (765) 485-1814

Other Identifiers 1

Medicaid300076258IN

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integumed Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integumed LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Miranda Tedder

Nurse Practitioner

NPI 1023650868

3611 S REED RD STE 214
Kokomo, IN 46902

(765) 776-8700

✔ PECOS✔ Accepts Medicare0.4 mi

Kellee Perry, FNP

Nurse Practitioner

NPI 1154073963

606 E GRANT ST
Marion, IN 46952

(765) 251-3987

✔ PECOS✔ Accepts Medicare27 mi

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

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 Integumed LLC's NPI number?

The NPI number for Integumed LLC is 1306569546. It was assigned to this organization in the NPPES registry on September 22, 2022.

Where is Integumed LLC located?

Integumed LLC is located at 194 E Southway Blvd, Kokomo, IN 46902. The listed phone number is (765) 485-1814.

What is Integumed LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Integumed LLC enrolled in Medicare?

Yes. Integumed LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integumed LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Integumed LLC. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integumed LLC was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.