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KRISTENE QUALLS
NPI 1750770053
Nurse Practitioner in Mishawaka, IN

Active since January 10, 2015PECOS Enrolled
524 E MCKINLEY AVE, MISHAWAKA, IN 46545(574) 256-2556 Get Directions Write a Review

NPPES record last updated: November 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristene Qualls NPPES

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

KRISTENE QUALLS (NPI 1750770053) is an individual nurse practitioner in Mishawaka, Indiana, licensed in Indiana (71005344A) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750770053
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTENE QUALLS
Location Address524 E MCKINLEY AVEMishawaka, IN 46545-6285
Mailing Address29580 County Road 6Elkhart, IN 46514-9513 · (574) 596-3258
Phone(574) 256-2556
Sole ProprietorNo
Enumeration DateJanuary 10, 2015
Last NPPES UpdateNovember 21, 2016
✔ NPI 1750770053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71005344A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
524 E MCKINLEY AVE, Mishawaka, IN 46545
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Other Identifiers 2

Medicaid201282570IN
Medicare PIN735210006IN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristene Qualls 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.

Other Providers at the Same Location NPPES 8

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

MRS. BLAIR RENEE HERRMAN FNP
Nurse Practitioner (Family)
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
JANET EILEEN ROBINSON APN
Nurse Practitioner (Psychiatric/Mental Health)
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
CANDACE KAY BYERS
Occupational Therapist
524 E MCKINLEY AVE, SUITE 1
MISHAWAKA, IN 46545
St. Joseph County (574) 255-8730
AMY MARIE WILLIAMS FNP
Nurse Practitioner (Family)
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
MS. SHEILA LYNNE PHILLIPS FNP
Nurse Practitioner (Family)
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
MCKINLEY MEDICAL CLINMIC
Health Maintenance Organization
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
LAWRENCE R CURRY
Family Medicine
524 E MCKINLEY AVE
MISHAWAKA, IN 46545
St. Joseph County (574) 256-2556
SUZANNE S HERTZLER OTR
Occupational Therapist
524 E MCKINLEY AVE, STE 1
MISHAWAKA, IN 46545
St. Joseph County (574) 255-8730

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 Kristene Qualls's NPI number?

The NPI number for Kristene Qualls is 1750770053. It was assigned to this individual provider in the NPPES registry on January 10, 2015.

Where is Kristene Qualls located?

Kristene Qualls practices at 524 E Mckinley Ave, Mishawaka, IN 46545. The listed phone number is (574) 256-2556.

What is Kristene Qualls's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristene Qualls enrolled in Medicare?

Yes. Kristene Qualls is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristene Qualls was last updated on November 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.