1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Nurse Practitioner
  6. NPI Profile

KELLY MARIE TIMBROOK NP
NPI 1851916274
Nurse Practitioner - Family in Fort Wayne, IN

Active since June 11, 2020PECOS Enrolled
1717 S CALHOUN ST, FORT WAYNE, IN 46802(260) 458-3093(260) 458-3093 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2023, Jun 11, 2020 (2 updates tracked since 2020).

About Kelly Marie Timbrook Np NPPES

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

KELLY MARIE TIMBROOK NP (NPI 1851916274) is an individual family provider in Fort Wayne, Indiana, licensed in Indiana (71010093A) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1851916274
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY MARIE TIMBROOKCredential: NP
Location Address1717 S CALHOUN STFort Wayne, IN 46802-5257
Mailing Address1717 S Calhoun StFort Wayne, IN 46802-5257 · (260) 458-2641 · Fax (260) 458-3093
Phone(260) 458-3093
Fax(260) 458-3093
Sole ProprietorNo
Enumeration DateJune 11, 2020
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1851916274 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 · 71010093A
1717 S CALHOUN ST, Fort Wayne, IN 46802
Open in Google Maps ↗

Secondary Practice Location 1

Location 13350 E Paulding RdFort Wayne, IN 46816-4513 · Phone (260) 458-2641

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Kelly Marie Timbrook 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 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.

RONALD R HALL M.D.
Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
LINDSEY DIANE HOSKINS
Physician Assistant
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2541
ALLISON TRELEAVEN O.D.
Optometrist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
ZELALEM BOGALE AMARE
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
MS. LUDMILA ROEBEL NURSE PRACTITIONER
Nurse Practitioner (Women's Health)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
DR. MIRIVA MAGAR M.D.
Pediatrics
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
TESSA CREAGER
Dentist
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641
DR. ANGELA R OJEDA DDS
Dentist (General Practice)
1717 S CALHOUN ST
FORT WAYNE, IN 46802
Allen County (260) 458-2641

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 Kelly Timbrook's NPI number?

The NPI number for Kelly Timbrook is 1851916274. It was assigned to this individual provider in the NPPES registry on June 11, 2020.

Where is Kelly Timbrook located?

Kelly Timbrook practices at 1717 S Calhoun St, Fort Wayne, IN 46802. The listed phone number is (260) 458-3093.

What is Kelly Timbrook's specialty?

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

Is Kelly Timbrook enrolled in Medicare?

Yes. Kelly Timbrook is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Timbrook accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Kelly Timbrook 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 Kelly Timbrook was last updated on May 15, 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.