MRS. KELLI ROSE ROE NP
NPI 1831600311
Nurse Practitioner - Family in Fort Wayne, IN
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Kelli Rose Roe Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelli Roe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Wayne, IN 46803
- Reassigned Medicare billing, Indiana enrollment
- 3 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 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.
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.
FORT WAYNE, IN 46803
FORT WAYNE, IN 46803
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.
Which organization bills Medicare for Kelli Roe's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Roe reassigns Medicare benefits to Ft. Wayne-Allen County Department Of Health (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 Kelli Roe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelli Roe accept?
Health plans from CareSource and UnitedHealthcare 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Kelli Rose Roe, NP · NPI 1831600311
Family physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since October 24, 2017.
## Identity
- **NPI:** 1831600311 (Entity type: Individual)
- **Enumerated:** October 24, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 28181384A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4813 NEW HAVEN AVE, Fort Wayne, IN 46803-3018
- **Phone:** (260) 449-7504
## 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:** Ft. Wayne-Allen County Department Of Health (NPI 1649422668, Fort Wayne, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1831600311) · Data from the CMS NPPES public registry.