GWENDOLYN SUE KRESOVSKY NP-C
NPI 1649465410
Nurse Practitioner - Family in Columbus, IN

Active since September 13, 2007PECOS EnrolledAccepts Medicare Assignment
90.14/100
CMS Quality Rating
2118 25TH ST STE D, COLUMBUS, IN 47201(812) 372-8281(812) 372-4525 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2024, May 8, 2024, Dec 5, 2022 and 2 more (5 updates tracked since 2015).

About Gwendolyn Sue Kresovsky Np-c NPPES

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

GWENDOLYN SUE KRESOVSKY NP-C (NPI 1649465410) is an individual family provider in Columbus, Indiana, licensed in Indiana (71002463A) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with Columbus Regional Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1649465410
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGWENDOLYN SUE KRESOVSKYCredential: NP-C
Location Address2118 25TH ST STE DColumbus, IN 47201-3240
Mailing AddressPo Box 775383Chicago, IL 60677-5383 · (812) 376-5315
Fax(812) 372-4525
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 13, 2007
Last NPPES UpdateSeptember 9, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1649465410 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 · 71002463A
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 71002463A (IN)
2118 25TH ST STE D, Columbus, IN 47201

Other Identifiers 2

Other000000986921IN · Anthem Pin
Medicaid201154020IN

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

Gwendolyn Sue Kresovsky Np-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 ID1658455175
PECOS Enrollment IDI20080222000143
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 9

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.
310 services156 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.
105 services88 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
71 services37 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.
57 services57 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.
55 services55 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
46 services46 patients

Hospital Affiliations CMS Care Compare

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

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47201 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.14
Promoting Interoperability93.3
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers47 claims91 services$5.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers30 claims30 services$0.80 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims64 services$2.21 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
2 suppliers13 claims13 services$85.07 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers13 claims13 services$10.77 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
6 suppliers22 claims5,040 services$0.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Family Medicine
2118 25TH ST STE D
COLUMBUS, IN 47201
Nurse Practitioner (Family)
2118 25TH ST STE D
COLUMBUS, IN 47201
Family Medicine
2118 25TH ST STE D
COLUMBUS, IN 47201
Nurse Practitioner (Family)
2118 25TH ST STE D
COLUMBUS, IN 47201
Family Medicine
2118 25TH ST STE D
COLUMBUS, IN 47201
Nurse Practitioner (Family)
2118 25TH ST STE D
COLUMBUS, IN 47201
Family Medicine
2118 25TH ST STE D
COLUMBUS, IN 47201
Family Medicine
2118 25TH ST STE D
COLUMBUS, IN 47201

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 Gwendolyn Kresovsky's NPI number?

The NPI number for Gwendolyn Kresovsky is 1649465410. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Gwendolyn Kresovsky located?

Gwendolyn Kresovsky practices at 2118 25th St Ste D, Columbus, IN 47201. The listed phone number is (812) 372-8281.

What is Gwendolyn Kresovsky's specialty?

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

Is Gwendolyn Kresovsky enrolled in Medicare?

Yes. Gwendolyn Kresovsky 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 Gwendolyn Kresovsky accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Gwendolyn Kresovsky 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 Gwendolyn Kresovsky affiliated with any hospitals?

According to CMS data, Gwendolyn Kresovsky is affiliated with Columbus Regional Hospital.

When was this NPI record last updated?

The NPPES record for Gwendolyn Kresovsky was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.