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

CARLEEN KAUCKY C-NP
NPI 1952734295
Nurse Practitioner in Hobart, IN

Active since August 09, 2013PECOS Enrolled
1445 SOUTH LAKE PARK AVE, HOBART, IN 46342(219) 942-7100(219) 945-0095 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carleen Kaucky C-np NPPES

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

CARLEEN KAUCKY C-NP (NPI 1952734295) is an individual nurse practitioner in Hobart, Indiana, licensed in Illinois (209.010203) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1952734295
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCARLEEN KAUCKYCredential: C-NP
Location Address1445 SOUTH LAKE PARK AVEHobart, IN 46342
Mailing Address1445 South Lake Park AveHobart, IN 46342 · (219) 942-7100 · Fax (219) 945-0095
Phone(219) 942-7100
Fax(219) 945-0095
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 9, 2013
Last NPPES UpdateMay 13, 2015
✔ NPI 1952734295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.010203
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1445 SOUTH LAKE PARK AVE, Hobart, IN 46342
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carleen Kaucky C-np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618195751
PECOS Enrollment IDI20190805001574
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carleen Kaucky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Indiana Occupational Pain And Wellness Center, LLC
5.5 mi
Occupational Medicine
399 E 84TH DR
Merrillville, IN 46410
  • Reassigned Medicare billing, Indiana enrollment
  • 7 clinicians in this Medicare group
NPI 1518398882 (219) 949-7540
Chicago Anti Aging Institute Sc
40 mi
Neuromusculoskeletal Medicine, Sports Medicine
16622 W 159TH ST STE 500
Lockport, IL 60441
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1003376245 (815) 838-7746

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 46342 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.

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 Carleen Kaucky's NPI number?

The NPI number for Carleen Kaucky is 1952734295. It was assigned to this individual provider in the NPPES registry on August 9, 2013.

Where is Carleen Kaucky located?

Carleen Kaucky practices at 1445 South Lake Park Ave, Hobart, IN 46342. The listed phone number is (219) 942-7100.

What is Carleen Kaucky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Carleen Kaucky enrolled in Medicare?

Yes. Carleen Kaucky is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carleen Kaucky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carleen Kaucky reassigns Medicare benefits to 2 organizations: Northwest Indiana Occupational Pain And Wellness Center, LLC (Merrillville, IN) and Chicago Anti Aging Institute Sc (Lockport, IL). Each 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 Carleen Kaucky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carleen Kaucky was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.