KENDRA JEAN HOLLENBECK MD
NPI 1780378299
Family Medicine in Fort Wayne, IN

Q: What is Kendra Hollenbeck's NPI number?

The NPI number for Kendra Hollenbeck is 1780378299. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Q: What is Kendra Hollenbeck's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Hollenbeck was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 07, 2023PECOS Enrolled

750 BROADWAY STE 350, FORT WAYNE, IN 46802(260) 423-2675(260) 423-6621 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Kendra Jean Hollenbeck Md NPPES

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

KENDRA JEAN HOLLENBECK MD (NPI 1780378299) is an individual family medicine provider in Fort Wayne, Indiana, licensed in Indiana (11023103A) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with St Joseph Health System, Llc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780378299

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKENDRA JEAN HOLLENBECKCredential: MD

Location Address750 BROADWAY STE 350Fort Wayne, IN 46802-1412

Mailing Address750 Broadway Ste 350Fort Wayne, IN 46802-1412 · (260) 423-2675 · Fax (260) 423-6621

Phone(260) 423-2675

Fax(260) 423-6621

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 7, 2023

NPPES CertifiedJune 7, 2023

✔ NPI 1780378299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 11023103A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

750 BROADWAY STE 350, Fort Wayne, IN 46802

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kendra Jean Hollenbeck Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436517687

PECOS Enrollment IDI20260826001620

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 Kendra Hollenbeck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centracare Health System - Melrose

576 mi

Critical Access

525 W. MAIN STREET
Melrose, MN 56352

Reassigned Medicare billing, Minnesota enrollment
180 clinicians in this Medicare group

NPI 1720045073 (320) 256-4231

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph Health System, LLC

Acute Care Hospitals · Fort Wayne, IN

OwnershipProprietary

CMS Certification Number150047

Location702 Van Buren StreetFort Wayne, IN 46802 · Allen County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 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 20

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

AUSTIN TRUMP DO

Family Medicine