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KELLY MARIE PERRY FNP
NPI 1710715230
Nurse Practitioner - Family in Fort Wayne, IN

Active since July 25, 2024PECOS Enrolled
3417 E STATE BLVD, FORT WAYNE, IN 46805(260) 387-6218(260) 387-6352 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Marie Perry Fnp NPPES

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

KELLY MARIE PERRY FNP (NPI 1710715230) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (28253017A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710715230
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE PERRYCredential: FNP
Location Address3417 E STATE BLVDFort Wayne, IN 46805-4830
Mailing Address3417 E State BlvdFort Wayne, IN 46805-4830 · (260) 387-6218 · Fax (260) 387-6352
Phone(260) 387-6218
Fax(260) 387-6352
Sole ProprietorNo
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
✔ NPI 1710715230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 28253017A
3417 E STATE BLVD, Fort Wayne, IN 46805
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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)

Kelly Marie Perry Fnp 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 46805 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 2

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

SPINE CENTER OF FORT WAYNE
Chiropractor
3417 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 387-6218
MATTHEW CRAWFORD
Chiropractor
3417 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 387-6218

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 Kelly Perry's NPI number?

The NPI number for Kelly Perry is 1710715230. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Kelly Perry located?

Kelly Perry practices at 3417 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 387-6218.

What is Kelly Perry's specialty?

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

Is Kelly Perry enrolled in Medicare?

Yes. Kelly Perry is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Perry was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.