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KELLY WITVOET
NPI 1407679483
Nurse Practitioner - Family in Munster, IN

Active since November 06, 2024PECOS Enrolled
901 MACARTHUR BLVD, MUNSTER, IN 46321(219) 836-4511 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kelly Witvoet NPPES

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

KELLY WITVOET (NPI 1407679483) is an individual family provider in Munster, Indiana, licensed in Indiana (71015999A) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407679483
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY WITVOET
Location Address901 MACARTHUR BLVDMunster, IN 46321-2959
Mailing Address1036 N Lakeshore DrCrown Point, IN 46307-9401 · (708) 476-8966
Phone(219) 836-4511
Sole ProprietorNo
Enumeration DateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1407679483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71015999A
901 MACARTHUR BLVD, Munster, IN 46321
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11500 S Lake Park AveHobart, IN 46342-6699 · Phone (219) 942-0551
Location 24321 Fir StEast Chicago, IN 46312-3097 · Phone (219) 392-1700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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

2

Medicare enrollment records show Kelly Witvoet reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cep America LLC
Same address
Emergency Medicine
901 MACARTHUR BLVD
Munster, IN 46321
  • Reassigned Medicare billing, Indiana enrollment
  • 598 clinicians in this Medicare group
NPI 1518623743 (219) 836-1600
Community Care Network Inc
7.6 mi
Family Medicine
9660 WICKER AVE
St John, IN 46373
  • Reassigned Medicare billing, Indiana enrollment
  • 607 clinicians in this Medicare group
NPI 1457610487 (219) 365-7620

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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 20

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

FARRUKH SALIM CHAUDHRY MD
Psychiatry & Neurology (Neurocritical Care)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-1600
DR. ALEKSANDAR GORESKI M.D.
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 703-1443
DR. AVRAM ESTES M.D.
Emergency Medicine
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-1600
MUNSTER MEDICAL RESEARCH FOUNDATION INC
General Acute Care Hospital
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 836-1600
RICHARD HENRY LADAGA CRNA
Nurse Anesthetist, Certified Registered
901 MACARTHUR BLVD, ATTN ANESTHESIA
MUNSTER, IN 46321
Lake County (219) 836-7040
SUNNY PATEL MD
Anesthesiology
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 703-1443
ESTEBAN E GOLOMBIEVSKI MD
Psychiatry & Neurology (Vascular Neurology)
901 MACARTHUR BLVD
MUNSTER, IN 46321
Lake County (219) 703-1991
ZACHARY ROSENFELDT PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
901 MACARTHUR BLVD, ATTN: PHARMACY DEPARTMENT
MUNSTER, IN 46321
Lake County (219) 703-4048

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 Kelly Witvoet's NPI number?

The NPI number for Kelly Witvoet is 1407679483. It was assigned to this individual provider in the NPPES registry on November 6, 2024.

Where is Kelly Witvoet located?

Kelly Witvoet practices at 901 Macarthur Blvd, Munster, IN 46321. The listed phone number is (219) 836-4511.

What is Kelly Witvoet's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly Witvoet enrolled in Medicare?

Yes. Kelly Witvoet is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelly Witvoet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Witvoet reassigns Medicare benefits to 2 organizations: Cep America LLC (Munster, IN) and Community Care Network Inc (St John, IN). 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 Kelly Witvoet's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Witvoet accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Kelly Witvoet 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.

When was this NPI record last updated?

The NPPES record for Kelly Witvoet was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.