1. Home
  2. Directory
  3. Indiana
  4. Russiaville
  5. Physician Assistant
  6. NPI Profile

KRISTEN L FOX PA-C
NPI 1538678289
Physician Assistant in Russiaville, IN

Active since September 26, 2017PECOS EnrolledAccepts Medicare Assignment
3309 S 750 W, RUSSIAVILLE, IN 46979(765) 765-8832 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: May 12, 2021, Mar 21, 2021, Mar 9, 2018 (3 updates tracked since 2018).

About Kristen L Fox Pa-c NPPES

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

KRISTEN L FOX PA-C (NPI 1538678289) is an individual physician assistant in Russiaville, Indiana, licensed in Indiana (10002315A) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Community Howard Regional Health Inc., and is a graduate of Other (2017).

NPPES Registry Identity

NPI1538678289
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRISTEN L FOXCredential: PA-C
Location Address3309 S 750 WRussiaville, IN 46979-9146
Mailing Address3309 S 750 WRussiaville, IN 46979-9146
Phone(765) 765-8832
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 26, 2017
Last NPPES UpdateMay 12, 20213 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1538678289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10002315A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3309 S 750 W, Russiaville, IN 46979
Open in Google Maps ↗

Other Names 1

Former Name (1)Kristen S Lohe Pa-c

Other Identifiers 1

Medicaid300009006IN

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 and more.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

Kristen L Fox Pa-c 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 ID6901172949
PECOS Enrollment IDI20171019000988
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
139 services102 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
127 services106 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
107 services74 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
39 services34 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Community Howard Regional Health Inc.

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150007
Location3500 S Lafountain StKokomo, IN 46902 · Howard County
Emergency services Birthing friendly

Ascension St Vincent Kokomo

Acute Care Hospitals · Kokomo, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150010
Location1907 W Sycamore StKokomo, IN 46904 · Howard County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150011
Location441 N Wabash AveMarion, IN 46952 · Grant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46979 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
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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 8

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

MARTIN WALTER PRUSS MD
Family Medicine
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
ST JOSEPH HOSPITAL AND HEALTH CENTER INC
Physiological Laboratory
3309 S 750 W, SUITE 101
RUSSIAVILLE, IN 46979
Howard County (765) 456-5300
SHERRI C NUSS MD
Family Medicine
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
ABBY MERRELL
Nurse Practitioner (Adult Health)
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
MARTHA J HOSHAW MD
Family Medicine
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
MICHAEL JOSEPH BEHNA PA
Physician Assistant
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
LISA MONTGOMERY PA
Physician Assistant
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273
OPTIMAL AUDIOLOGY, LLC
Clinic/Center (Hearing and Speech)
3309 S 750 W
RUSSIAVILLE, IN 46979
Howard County (765) 883-2273

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 Kristen Fox's NPI number?

The NPI number for Kristen Fox is 1538678289. It was assigned to this individual provider in the NPPES registry on September 26, 2017. The provider is also known as Kristen S Lohe Pa-C.

Where is Kristen Fox located?

Kristen Fox practices at 3309 S 750 W, Russiaville, IN 46979. The listed phone number is (765) 765-8832.

What is Kristen Fox's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kristen Fox enrolled in Medicare?

Yes. Kristen Fox 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 Kristen Fox accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Kristen Fox 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 Kristen Fox affiliated with any hospitals?

According to CMS data, Kristen Fox is affiliated with Community Howard Regional Health Inc., Ascension St Vincent Kokomo and Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Fox was last updated on May 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.