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KATELYN MARIE DICKELMAN AGNP
NPI 1356061436
Nurse Practitioner - Adult Health in Crown Point, IN

Active since August 30, 2022PECOS EnrolledAccepts Medicare Assignment
503 E SUMMIT ST, CROWN POINT, IN 46307(219) 228-4224 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katelyn Marie Dickelman Agnp NPPES

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

KATELYN MARIE DICKELMAN AGNP (NPI 1356061436) is an individual adult health provider in Crown Point, Indiana, licensed in Indiana (71014176A) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356061436
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATELYN MARIE DICKELMANCredential: AGNP
Location Address503 E SUMMIT STCrown Point, IN 46307-3377
Mailing Address503 E Summit StCrown Point, IN 46307-3377 · (219) 228-4224
Phone(219) 228-4224
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 30, 2022
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1356061436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 71014176A
Also ListedRegistered Nurse · OncologyTaxonomy 163WX0200X · License 041455840 (IL), 28276637A (IN)
503 E SUMMIT ST, Crown Point, IN 46307
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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

Katelyn Marie Dickelman Agnp 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 ID4385160456
PECOS Enrollment IDI20250501001566
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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.

Other Providers at the Same Location NPPES 4

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

NOUR REHABILITATION CENTER ,INC
Clinic/Center (Physical Therapy)
503 E SUMMIT ST, SUITE 5
CROWN POINT, IN 46307
Lake County (219) 663-7081
MEGAN BLAHUT PA-C
Physician Assistant
503 E SUMMIT ST
CROWN POINT, IN 46307
Lake County (219) 228-4224
MONARCH HEALTH & WELLNESS
Clinic/Center (Primary Care)
503 E SUMMIT ST
CROWN POINT, IN 46307
Lake County (219) 228-4224
KAYLA ERICKSEN
Nurse Practitioner
503 E SUMMIT ST
CROWN POINT, IN 46307
Lake County (219) 228-4224

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 Katelyn Dickelman's NPI number?

The NPI number for Katelyn Dickelman is 1356061436. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Where is Katelyn Dickelman located?

Katelyn Dickelman practices at 503 E Summit St, Crown Point, IN 46307. The listed phone number is (219) 228-4224.

What is Katelyn Dickelman's specialty?

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

Is Katelyn Dickelman enrolled in Medicare?

Yes. Katelyn Dickelman 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.

When was this NPI record last updated?

The NPPES record for Katelyn Dickelman was last updated on September 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.