CHLOE KOEDYKER PA-C
NPI 1669208039
Physician Assistant - Surgical in Chesterton, IN

Active since September 11, 2024PECOS EnrolledAccepts Medicare Assignment
601 GATEWAY BLVD N, CHESTERTON, IN 46304(219) 921-1444(219) 921-5303 Get Directions Write a Review

NPPES record last updated: September 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chloe Koedyker Pa-c NPPES

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

CHLOE KOEDYKER PA-C (NPI 1669208039) is an individual surgical provider in Chesterton, Indiana and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Northwest Health - Porter, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669208039
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCHLOE KOEDYKERCredential: PA-C
Location Address601 GATEWAY BLVD NChesterton, IN 46304-9658
Mailing Address601 Gateway Blvd NChesterton, IN 46304-9658 · (219) 921-1444 · Fax (219) 921-5303
Fax(219) 921-5303
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 11, 2024
NPPES CertifiedSeptember 11, 2024
NPI 1669208039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
601 GATEWAY BLVD N, Chesterton, IN 46304

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

Chloe Koedyker 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 ID1759818156
PECOS Enrollment IDI20241226000157
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.

Hospital Affiliations CMS Care Compare 2

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

Northwest Health - Porter

Acute Care Hospitals · Valparaiso, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150035
Location85 East Us Hwy 6Valparaiso, IN 46383 · Porter County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

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.

Pain Medicine (Interventional Pain Medicine)
601 GATEWAY BLVD N
CHESTERTON, IN 46304
Podiatrist
601 GATEWAY BLVD N
CHESTERTON, IN 46304
Physical Therapist
601 GATEWAY BLVD N
CHESTERTON, IN 46304
Physician Assistant (Surgical)
601 GATEWAY BLVD N
CHESTERTON, IN 46304
Physician Assistant
601 GATEWAY BLVD N
CHESTERTON, IN 46304
Orthopaedic Surgery
601 GATEWAY BLVD N, APT. 409
CHESTERTON, IN 46304
Orthopaedic Surgery
601 GATEWAY BLVD N
CHESTERTON, IN 46304
Nurse Practitioner
601 GATEWAY BLVD N, #A
CHESTERTON, IN 46304

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 Chloe Koedyker's NPI number?

The NPI number for Chloe Koedyker is 1669208039. It was assigned to this individual provider in the NPPES registry on September 11, 2024.

Where is Chloe Koedyker located?

Chloe Koedyker practices at 601 Gateway Blvd N, Chesterton, IN 46304. The listed phone number is (219) 921-1444.

What is Chloe Koedyker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Chloe Koedyker enrolled in Medicare?

Yes. Chloe Koedyker 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.

Is Chloe Koedyker affiliated with any hospitals?

According to CMS data, Chloe Koedyker is affiliated with Northwest Health - Porter and Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Chloe Koedyker was last updated on September 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.