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MEGAN KERSTETTER FNP
NPI 1811438484
Nurse Practitioner - Family in Newark, DE

Active since March 16, 2017PECOS EnrolledAccepts Medicare Assignment
4735 OGLETOWN STANTON ROAD, MAP 2, SUITE 1250, NEWARK, DE 19713(302) 623-0200(302) 623-0117 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2018, Mar 16, 2017 (2 updates tracked since 2017).

About Megan Kerstetter Fnp NPPES

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

MEGAN KERSTETTER FNP (NPI 1811438484) is an individual family provider in Newark, Delaware, licensed in Delaware (LG-000104) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1811438484
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMEGAN KERSTETTERCredential: FNP
Location Address4735 OGLETOWN STANTON ROAD, MAP 2, SUITE 1250Newark, DE 19713-2076
Mailing Address200 Hygeia Drive, Cchs Physician Contracting, Suite 2300Newark, DE 19713-2049 · (612) 865-7547
Phone(302) 623-0200
Fax(302) 623-0117
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 16, 2017
Last NPPES UpdateAugust 21, 20182 updates tracked since enumeration
✔ NPI 1811438484 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 DE · LG-000104
4735 OGLETOWN STANTON ROAD, Newark, DE 19713
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Megan Kerstetter Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294004743
PECOS Enrollment IDI20170627001795
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
24 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims34 services$6.26 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$211.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

LUIS CARDENAS, DO DO
Surgery (Surgical Critical Care)
4735 OGLETOWN STANTON ROAD, SUITE 3301
NEWARK, DE 19713
New Castle County (302) 623-4370
DR. SANDRA P MEDINILLA MD
Surgery (Surgical Critical Care)
4735 OGLETOWN STANTON ROAD, MAP 2, SUITE 3301
NEWARK, DE 19713
New Castle County (302) 623-4370
DR. DENNIS R WITMER MD
Specialist
4735 OGLETOWN STANTON ROAD, SUITE 3301
NEWARK, DE 19713
New Castle County (302) 623-4370
DR. RAYMOND HOWARD GREEN DO
Surgery (Surgical Critical Care)
4735 OGLETOWN STANTON ROAD, MEDICAL ARTS PAVILION 2, SUITE 3301
NEWARK, DE 19713
New Castle County (302) 623-4370
BROOKE L JACOB RD
Dietitian, Registered
4735 OGLETOWN STANTON ROAD, SUITE 3201
NEWARK, DE 19713
New Castle County (302) 623-4323
DR. ANNE HEMPHILL WARNER M.D.
Surgery
4735 OGLETOWN STANTON ROAD, MAP 2, SUITE 3301
NEWARK, DE 19713
New Castle County (302) 623-4370
PARTH MOHANBHAI VIROJA MD
Psychiatry & Neurology (Psychiatry)
4735 OGLETOWN STANTON ROAD, MAP 2, SUITE 1201
NEWARK, DE 19713
New Castle County (302) 623-4330
KALLEEN S. BARHAM MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4735 OGLETOWN STANTON ROAD, MAP 2, SUITE 3201
NEWARK, DE 19713
New Castle County (302) 623-4323

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 Megan Kerstetter's NPI number?

The NPI number for Megan Kerstetter is 1811438484. It was assigned to this individual provider in the NPPES registry on March 16, 2017.

Where is Megan Kerstetter located?

Megan Kerstetter practices at 4735 Ogletown Stanton Road Map 2, Suite 1250, Newark, DE 19713. The listed phone number is (302) 623-0200.

What is Megan Kerstetter's specialty?

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

Is Megan Kerstetter enrolled in Medicare?

Yes. Megan Kerstetter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Megan Kerstetter accept?

Health plans from AmeriHealth Caritas Next list Megan Kerstetter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Megan Kerstetter was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.