MR. ROBERT KALONICK APRN-CNP
NPI 1780220707
Nurse Practitioner in Fort Wayne, IN
About Mr. Robert Kalonick Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ROBERT KALONICK APRN-CNP (NPI 1780220707) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Arizona (226732) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.
NPPES Registry Identity
Specialties & Licenses 5
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Robert Kalonick Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Robert Kalonick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 301 clinicians in this Medicare group
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 46804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
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 Robert Kalonick's NPI number?
The NPI number for Robert Kalonick is 1780220707. It was assigned to this individual provider in the NPPES registry on November 25, 2019.
Where is Robert Kalonick located?
Robert Kalonick practices at 7910 W Jefferson Blvd Ste 102, Fort Wayne, IN 46804. The listed phone number is (260) 458-3555.
What is Robert Kalonick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Robert Kalonick enrolled in Medicare?
Yes. Robert Kalonick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Robert Kalonick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Robert Kalonick reassigns Medicare benefits to Lutheran Medical Group LLC (Fort Wayne, 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 Robert Kalonick'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 Robert Kalonick was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.
# Mr. Robert Kalonick, APRN-CNP · NPI 1780220707
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since November 25, 2019.
## Identity
- **NPI:** 1780220707 (Entity type: Individual)
- **Enumerated:** November 25, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 226732 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 7910 W JEFFERSON BLVD STE 102, Fort Wayne, IN 46804-4159
- **Phone:** (260) 458-3555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lutheran Medical Group LLC (NPI 1164662805, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1780220707) · Data from the CMS NPPES public registry.