DR. KEVIN L. WIELAND PSY.D., HSPP
NPI 1497737902
Psychologist - Clinical in Fort Wayne, IN

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
1415 MAGNAVOX WAY, SUITE 120, FORT WAYNE, IN 46804(260) 483-7207(260) 483-0836 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Aug 17, 2016 (2 updates tracked since 2016).

About Dr. Kevin L. Wieland Psy.d., Hspp NPPES

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

DR. KEVIN L. WIELAND PSY.D., HSPP (NPI 1497737902) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (20041419A) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1497737902
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEVIN L. WIELANDCredential: PSY.D., HSPP
Location Address1415 MAGNAVOX WAY, SUITE 120Fort Wayne, IN 46804-1565
Mailing Address1415 Magnavox Way, Suite 120Fort Wayne, IN 46804-1565 · (260) 483-7207 · Fax (260) 483-0836
Fax(260) 483-0836
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 18, 2005
Last NPPES UpdateDecember 19, 20252 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1497737902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IN · 20041419A
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1415 MAGNAVOX WAY, Fort Wayne, IN 46804

Other Identifiers 1

Medicaid200360310AIN

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

Dr. Kevin L. Wieland Psy.d., Hspp 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 ID9133190788
PECOS Enrollment IDI20060103000490
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.

Areas of Expertise CMS Part B claims

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
119 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
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 11

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

Counselor (Professional)
1415 MAGNAVOX WAY, SUITE 120
FORT WAYNE, IN 46804
Social Worker (Clinical)
1415 MAGNAVOX WAY
FORT WAYNE, IN 46804
Community/Behavioral Health
1415 MAGNAVOX WAY, SUITE 120
FORT WAYNE, IN 46804
Counselor (Mental Health)
1415 MAGNAVOX WAY
FORT WAYNE, IN 46804
Marriage & Family Therapist
1415 MAGNAVOX WAY, SUITE 120
FORT WAYNE, IN 46804
Psychologist
1415 MAGNAVOX WAY, STE: 120
FORT WAYNE, IN 46804
Social Worker (Clinical)
1415 MAGNAVOX WAY, SUITE 120
FORT WAYNE, IN 46804
Clinic/Center (Mental Health (Including Community Mental Health Center))
1415 MAGNAVOX WAY
FORT WAYNE, IN 46804

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 Kevin Wieland's NPI number?

The NPI number for Kevin Wieland is 1497737902. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Kevin Wieland located?

Kevin Wieland practices at 1415 Magnavox Way Suite 120, Fort Wayne, IN 46804. The listed phone number is (260) 483-7207.

What is Kevin Wieland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kevin Wieland enrolled in Medicare?

Yes. Kevin Wieland 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.

What insurance does Kevin Wieland accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Providence Health Plan and 1 other insurer list Kevin Wieland 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 Kevin Wieland was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.