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KALEY KIEPURA
NPI 1679311559
Nurse Practitioner - Pediatrics in Crown Point, IN

Active since July 16, 2024PECOS Enrolled
10851 BROADWAY, CROWN POINT, IN 46307(219) 763-8112 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kaley Kiepura NPPES

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

KALEY KIEPURA (NPI 1679311559) is an individual pediatrics provider in Crown Point, Indiana, licensed in Illinois (209032781) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679311559
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKALEY KIEPURA
Location Address10851 BROADWAYCrown Point, IN 46307-7303
Mailing Address7110 W 127th StPalos Heights, IL 60463-1571
Phone(219) 763-8112
Sole ProprietorNo
Enumeration DateJuly 16, 2024
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1679311559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IL · 209032781✔ Licensed in IN · 71015502A
10851 BROADWAY, Crown Point, IN 46307
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaley Kiepura 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.

Medicare Billing Reassignment

Medicare enrollment records show Kaley Kiepura reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northshore Health Centers, Inc.
Same address
Federally Qualified Health Center (FQHC)
10851 BROADWAY, CLINIC SUITE, NORTH OF MAIN ENTRANCE
Crown Point, IN 46307
  • Reassigned Medicare billing, Indiana enrollment
  • 134 clinicians in this Medicare group
NPI 1629649751 (219) 763-8112

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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

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

NORTHSHORE HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
10851 BROADWAY, CLINIC SUITE, NORTH OF MAIN ENTRANCE
CROWN POINT, IN 46307
Lake County (219) 763-8112

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 Kaley Kiepura's NPI number?

The NPI number for Kaley Kiepura is 1679311559. It was assigned to this individual provider in the NPPES registry on July 16, 2024.

Where is Kaley Kiepura located?

Kaley Kiepura practices at 10851 Broadway, Crown Point, IN 46307. The listed phone number is (219) 763-8112.

What is Kaley Kiepura's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kaley Kiepura enrolled in Medicare?

Yes. Kaley Kiepura is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaley Kiepura's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaley Kiepura reassigns Medicare benefits to Northshore Health Centers, Inc. (Crown Point, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaley Kiepura's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaley Kiepura was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.