Kelly A Anderson, NP in Fort Wayne, IN - Medicare Nurse Practitioner

Kelly A Anderson, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Fort Wayne, Indiana. She graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Kingston Care Partners, Llc and her current practice location is 7900 W Jefferson Blvd, Suite 304, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 969-6200.

Kelly A Anderson is licensed to practice in Indiana (license number 71003789A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043592033.

Contact Information

	Kelly A Anderson, NP
	7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128
	(260) 969-6200
	(260) 969-6201

Map and Direction

Provider's Profile

Full Name	Kelly A Anderson
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	7900 W Jefferson Blvd, Fort Wayne, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kelly A Anderson graduated from nursing school in 2011

NPI Data:

NPI Number: 1043592033
Provider Enumeration Date: 09/15/2011
Last Update Date: 01/13/2012

Medicare PECOS Information:

PECOS PAC ID: 4385818780
Enrollment ID: I20111121000954

Medical Identifiers

Medical identifiers for Kelly A Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043592033	NPI	-	NPPES
201040960	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	71003789A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Parkview Regional Medical Center	Fort wayne, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kingston Care Partners, Llc	1850589102	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly A Anderson allows following entities to bill medicare on her behalf.

Entity Name	Kingston Care Partners, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609185180 PECOS PAC ID: 1850589102 Enrollment ID: O20110407000014

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly A Anderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kelly A Anderson, NP Po Box 8857, Fort Wayne, IN 46898-8857 Ph: (260) 969-6200	Kelly A Anderson, NP 7900 W Jefferson Blvd, Suite 304, Fort Wayne, IN 46804-4128 Ph: (260) 969-6200

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Luann Deafenbaugh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-436-0800 Fax: 260-483-1911
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Mr. Justin Michael Garrison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4008 Stanton Dr, Fort Wayne, IN 46815 Phone: 260-760-7753
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455

Kelly A Anderson, NP - Medicare Nurse Practitioner in Fort Wayne, IN