MR. ROBERT KALONICK APRN-CNP - NPI 1780220707 - Nurse Practitioner in Fort Wayne, IN

Q: 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.

Q: What is Robert Kalonick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Robert Kalonick was last updated on July 10, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1780220707

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. ROBERT KALONICKCredential: APRN-CNP

Location Address7910 W JEFFERSON BLVD STE 102Fort Wayne, IN 46804-4159

Mailing Address5215 W La Salle StLaveen, AZ 85339-1906 · (701) 200-7166

Phone(260) 458-3555

Sole ProprietorNo

Enumeration DateNovember 25, 2019

Last NPPES UpdateJuly 10, 20262 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1780220707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · 226732

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 226732 (AZ)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 226732 (AZ)

Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 226732 (AZ)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 226732 (AZ)

7910 W JEFFERSON BLVD STE 102, Fort Wayne, IN 46804

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Secondary Practice Location 1

Location 19200 N Central Ave Ste 2Phoenix, AZ 85020-2463 · Phone (602) 943-9494

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Robert Kalonick Aprn-cnp 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 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.

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 6

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

MR. CHRISTOPHER A FEGLEY PA

Physician Assistant