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STEPHANIE KAY KERTES NP
NPI 1326414160
Nurse Practitioner - Adult Health in Elkhart, IN

Active since August 17, 2015PECOS EnrolledAccepts Medicare Assignment
2004 MISHAWAKA STREET, ELKHART, IN 46514(574) 622-1522(833) 310-2090 Get Directions Write a Review

NPPES record last updated: January 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 10, 2023, Jan 9, 2022, Nov 11, 2021 and 3 more (6 updates tracked since 2018).

About Stephanie Kay Kertes Np NPPES

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

STEPHANIE KAY KERTES NP (NPI 1326414160) is an individual adult health provider in Elkhart, Indiana, licensed in Indiana (28184746A) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension Borgess Lee Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326414160
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSTEPHANIE KAY KERTESCredential: NP
Location Address2004 MISHAWAKA STREETElkhart, IN 46514-2964
Mailing Address2004 Mishawaka StreetElkhart, IN 46514-2964 · (574) 622-1522 · Fax (833) 310-2090
Phone(574) 622-1522
Fax(833) 310-2090
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 17, 2015
Last NPPES UpdateJanuary 9, 20226 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2022
✔ NPI 1326414160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in IN · 28184746A✔ Licensed in MI · 4704338384
2004 MISHAWAKA STREET, Elkhart, IN 46514
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Kay Kertes 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 ID7911215363
PECOS Enrollment IDI20151005000415, I20171228000072
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 Reassignments

6

Medicare enrollment records show Stephanie Kertes reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Apogee Medical Group Indiana PC
13 mi
Internal Medicine
200 HIGH PARK AVE
Goshen, IN 46526
  • Reassigned Medicare billing, Indiana enrollment
  • 172 clinicians in this Medicare group
NPI 1093973885 (574) 364-2510
Vpa PC
17 mi
Family Medicine
5838 W BRICK RD STE 106
South Bend, IN 46628
  • Reassigned Medicare billing, Indiana and Michigan enrollments
  • Also billed through NPI 1669091864 (Michigan)
  • 110 clinicians in this Medicare group
NPI 1720605884 (574) 247-1911
Sound Inpatient Physicians-Michigan, PLLC
48 mi
Internal Medicine
1521 GULL RD
Kalamazoo, MI 49048
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
NPI 1093967861 (269) 226-7000
Mid-South Home Care Services, LLC
122 mi
Hospice and Palliative Medicine
9775 CROSSPOINT BLVD STE 118A
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 19 clinicians in this Medicare group
NPI 1699463299 (317) 588-3067
Apogee Medical Group, Michigan, PC
1,519 mi
Internal Medicine
15059 N SCOTTSDALE ROAD, SUITE 600
Scottsdale, AZ 85254
  • Reassigned Medicare billing, Michigan enrollment
  • 143 clinicians in this Medicare group
NPI 1053655134 (602) 778-3600
Preferred Podiatry Group PC
1,834 mi
Podiatrist
171 SW 6TH AVE
Oak Harbor, WA 98277
  • Reassigned Medicare billing, Indiana enrollment
  • 24 clinicians in this Medicare group
NPI 1720037138 (847) 504-5000

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

Areas of Expertise CMS Part B claims 3

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
50 services29 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
22 services22 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Ascension Borgess Lee Hospital

Critical Access Hospitals · Dowagiac, MI
OwnershipVoluntary non-profit - Church
CMS Certification Number231315
Location420 W High StDowagiac, MI 49047 · Cass County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers23 claims23 services$90.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Stephanie Kertes's NPI number?

The NPI number for Stephanie Kertes is 1326414160. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Stephanie Kertes located?

Stephanie Kertes practices at 2004 Mishawaka Street, Elkhart, IN 46514. The listed phone number is (574) 622-1522.

What is Stephanie Kertes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stephanie Kertes enrolled in Medicare?

Yes. Stephanie Kertes 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.

Which organizations bill Medicare for Stephanie Kertes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Kertes reassigns Medicare benefits to 6 organizations: Apogee Medical Group Indiana PC (Goshen, IN), Vpa PC (South Bend, IN), Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI), Mid-South Home Care Services, LLC (Indianapolis, IN), Apogee Medical Group, Michigan, PC (Scottsdale, AZ) and 1 more organization, listed in the Medicare section above. Each 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 Stephanie Kertes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Kertes accept?

Health plans from CareSource and Priority Health list Stephanie Kertes 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 Stephanie Kertes affiliated with any hospitals?

According to CMS data, Stephanie Kertes is affiliated with Ascension Borgess Lee Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Kertes was last updated on January 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.