MRS. KELLEE MARIE HEDGES FNP-BC
NPI 1639461817
Nurse Practitioner - Family in Mishawaka, IN

Q: What is Kellee Hedges's NPI number?

The NPI number for Kellee Hedges is 1639461817. It was assigned to this individual provider in the NPPES registry on May 6, 2011.

Q: What is Kellee Hedges's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kellee Hedges was last updated on August 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 06, 2011PECOS Enrolled

611 E DOUGLAS RD, SUITE 108, MISHAWAKA, IN 46545(574) 968-9100(574) 246-1141 Get Directions Write a Review

NPPES record last updated: August 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2021, May 14, 2021 (2 updates tracked since 2021).

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About Mrs. Kellee Marie Hedges Fnp-bc NPPES

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

MRS. KELLEE MARIE HEDGES FNP-BC (NPI 1639461817) is an individual family provider in Mishawaka, Indiana, licensed in Indiana (28167458A) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639461817

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KELLEE MARIE HEDGESCredential: FNP-BC

Location Address611 E DOUGLAS RD, SUITE 108Mishawaka, IN 46545-1464

Mailing Address611 E Douglas Rd, Suite 108Mishawaka, IN 46545-1464 · (574) 968-9100 · Fax (574) 243-1141

Phone(574) 968-9100

Fax(574) 246-1141

Sole ProprietorNo

Enumeration DateMay 6, 2011

Last NPPES UpdateAugust 26, 20212 updates tracked since enumeration

NPPES CertifiedAugust 26, 2021

✔ NPI 1639461817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 28167458A

Also ListedClinical Nurse Specialist · Medical-SurgicalTaxonomy 364SM0705X · License 28167458A (IN)

611 E DOUGLAS RD, Mishawaka, IN 46545

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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 (PECOS)

Mrs. Kellee Marie Hedges Fnp-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 46545 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.

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