KENDRA DE VRIES
NPI 1922647460
Nurse Practitioner - Family in Munster, IN

Q: What is Kendra De Vries's NPI number?

The NPI number for Kendra De Vries is 1922647460. It was assigned to this individual provider in the NPPES registry on January 2, 2020. The provider is also known as Kendra Poel.

Q: What is Kendra De Vries's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kendra De Vries was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 02, 2020PECOS Enrolled

503 OTIS BOWEN DR, MUNSTER, IN 46321(219) 703-5152 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Feb 20, 2020, Jan 2, 2020 (2 updates tracked since 2020).

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About Kendra De Vries NPPES

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

KENDRA DE VRIES (NPI 1922647460) is an individual family provider in Munster, Indiana, licensed in Indiana (71009822A) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922647460

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKENDRA DE VRIES

Location Address503 OTIS BOWEN DRMunster, IN 46321-4158

Mailing Address503 Otis Bowen DrMunster, IN 46321-4158

Phone(219) 703-5152

Sole ProprietorNo

Enumeration DateJanuary 2, 2020

Last NPPES UpdateFebruary 20, 20202 updates tracked since enumeration

✔ NPI 1922647460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71009822A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28204066A (IN)

503 OTIS BOWEN DR, Munster, IN 46321

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Other Names 1

Former Name (1)Kendra Poel

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)

Kendra De Vries 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 46321 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$14.93 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier24 claims24 services$60.11 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$29.09 avg. paid by Medicare

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches E2201

DME-Wheelchairs · category DD021N

1 supplier11 claims13 services$17.79 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

1 supplier15 claims17 services$18.47 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier16 claims18 services$5.29 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.

CHRISTINE MARIE PRATT

Occupational Therapy Assistant