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MRS. KELLI ROSE ROE NP
NPI 1831600311
Nurse Practitioner - Family in Fort Wayne, IN

Active since October 24, 2017PECOS Enrolled
4813 NEW HAVEN AVE, FORT WAYNE, IN 46803(260) 449-7504 Get Directions Write a Review

NPPES record last updated: January 22, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 22, 2021, Oct 24, 2017 (2 updates tracked since 2017).

About Mrs. Kelli Rose Roe Np NPPES

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

MRS. KELLI ROSE ROE NP (NPI 1831600311) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (28181384A) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831600311
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLI ROSE ROECredential: NP
Location Address4813 NEW HAVEN AVEFort Wayne, IN 46803-3018
Mailing Address4813 New Haven AveFort Wayne, IN 46803-3018 · (260) 449-7504
Phone(260) 449-7504
Sole ProprietorNo
Enumeration DateOctober 24, 2017
Last NPPES UpdateJanuary 22, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2021
✔ NPI 1831600311 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 IN · 28181384A
4813 NEW HAVEN AVE, Fort Wayne, IN 46803
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kelli Rose Roe Np 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 46803 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 4

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

MRS. CHERYL LYNN ERICKSON NP
Nurse Practitioner
4813 NEW HAVEN AVE
FORT WAYNE, IN 46803
Allen County (260) 449-7504
DR. DEBORAH ANNE MCMAHAN MD
Internal Medicine
4813 NEW HAVEN AVE
FORT WAYNE, IN 46803
Allen County (260) 449-7670
DR. THOMAS ELDON HAYHURST M.D.
Internal Medicine (Pulmonary Disease)
4813 NEW HAVEN AVE
FORT WAYNE, IN 46803
Allen County (260) 449-7920
FT. WAYNE-ALLEN COUNTY DEPARTMENT OF HEALTH
Public Health or Welfare
4813 NEW HAVEN AVE
FORT WAYNE, IN 46803
Allen County (260) 449-7578

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 Kelli Roe's NPI number?

The NPI number for Kelli Roe is 1831600311. It was assigned to this individual provider in the NPPES registry on October 24, 2017.

Where is Kelli Roe located?

Kelli Roe practices at 4813 New Haven Ave, Fort Wayne, IN 46803. The listed phone number is (260) 449-7504.

What is Kelli Roe's specialty?

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

Is Kelli Roe enrolled in Medicare?

Yes. Kelli Roe is registered in the Medicare PECOS enrollment system.

What insurance does Kelli Roe accept?

Health plans from CareSource list Kelli Roe 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 Kelli Roe was last updated on January 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.