MRS. HALIE H KUDUMULA NNP-BC
NPI 1588058739
Nurse Practitioner in Fort Wayne, IN

Q: What is Halie Kudumula's NPI number?

The NPI number for Halie Kudumula is 1588058739. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Q: What is Halie Kudumula's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Halie Kudumula was last updated on January 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 26, 2015PECOS Enrolled

11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845(260) 672-6400(260) 672-6459 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 4, 2023, Dec 28, 2022 (2 updates tracked since 2022).

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About Mrs. Halie H Kudumula Nnp-bc NPPES

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

MRS. HALIE H KUDUMULA NNP-BC (NPI 1588058739) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71005419A) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588058739

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. HALIE H KUDUMULACredential: NNP-BC

Location Address11115 PARKVIEW PLAZA DRFort Wayne, IN 46845-1701

Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701

Phone(260) 672-6400

Fax(260) 672-6459

Sole ProprietorNo

Enumeration DateMarch 26, 2015

Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2023

✔ NPI 1588058739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71005419A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11115 PARKVIEW PLAZA DR, Fort Wayne, IN 46845

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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 (PECOS)

Mrs. Halie H Kudumula Nnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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.

DR. MELISSA S RICE D.O.

Pediatrics (Neonatal-Perinatal Medicine)