Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nicole M. Kellner , PA

Physician Assistant โ€ข Fort Wayne, IN

Active NPI 1245581677 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

7900 W Jefferson Blvd Ste 306
Fort Wayne, IN 468044128

Call 2604793514 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7900 W Jefferson Blvd Ste 306

Fort Wayne, IN 468044128

Telephone 2604793514
Fax 2604793520
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Lutheran Medical Group Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2012

Medicare patients

36 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $814 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $649 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

66 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$8,230 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2023.

Open Payments general payments, program year 2025

All general payments: $134.83 across 5 records.

By nature of payment

  • Food and Beverage: $134.83 across 5 records.

Reporting-company totals (3 largest of 5)

  • Davol Inc.: $53.61 across 1 record.
  • Merck Sharp & Dohme LLC: $26.15 across 1 record.
  • Aroa Biosurgery Incorporated: $25.74 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nicole Kellner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nicole Kellner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Fort Wayne and Indiana

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Physician Assistant in Fort Wayne, IN (2024, 186 clinicians with data). Median for this group: 160. Middle half: 76 to 520.

Fewer Medicare Part B services than 90% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: 197. Middle half: 86 to 492.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Fort Wayne, IN (2024, 186 clinicians with data). Median for this group: $13,183. Middle half: $7,142 to $25,237.

A lower Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: $15,329. Middle half: $6,542 to $30,900.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Fort Wayne, IN (2024, 186 clinicians with data). Median for this group: $9,801. Middle half: $5,312 to $18,299.

A lower Medicare payment amount than 95% of clinicians listed under Physician Assistant in Indiana (2024, 1,341 clinicians with data). Median for this group: $11,240. Middle half: $4,743 to $22,484.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Nicole Kellner are from 2023.

313 active clinicians are listed under Physician Assistant with a practice address in Fort Wayne, IN (2,419 in Indiana).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fort Wayne

7% of these 313 clinicians have the CMS telehealth indicator.

66.5% of these 313 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $134.83.

Manufacturer Payment Nature Product Type Amount ($)
Davol Inc.
Food and Beverage
In-kind items and services
Phasix Mesh General $53.61
Merck Sharp & Dohme LLC
Food and Beverage
In-kind items and services
ZERBAXA General $26.15
Aroa Biosurgery Incorporated
Food and Beverage
Cash or cash equivalent
โ€” General $25.74
Ethicon Inc.
Food and Beverage
In-kind items and services
EVARREST General $15.68
Solventum Corporation
Food and Beverage
Cash or cash equivalent
V.A.C. VERAFLO General $13.65

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
21 14 $120.00 $38.78

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ondansetron Odt Ondansetron 19 163 $623.95 โ€”
Omeprazole Omeprazole 18 584 $74.71 โ€”
Oxycodone Hcl Oxycodone Hcl 14 43 $38.19 13
Linzess Linaclotide 13 390 $7,493.11 โ€”

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IN 10004106A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Indiana Professional Licensing Agency.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20230914003527

Enrollment State Jurisdiction

IN

PECOS Control ID

3577708007

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Lutheran Medical Group Llc

7952 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604352999

Lutheran Medical Group Llc

7970 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604322297

Lutheran Medical Group Llc

7938 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604368583

Lutheran Medical Group Llc

2516 E Dupont Rd, Fort Wayne, IN 468251608

Phone: 2604346076

Lutheran Medical Group Llc

7956 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604352836

Lutheran Medical Group Llc

7970 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604356105

Lutheran Medical Group Llc

7988 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2609697280

Lutheran Medical Group Llc

7916 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604322297

Lutheran Medical Group Llc

7956 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604346339

Lutheran Medical Group Llc

7950 W Jefferson Blvd, Fort Wayne, IN 468044140

Phone: 2604357001

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Adrienne Peery , NP

Nurse Practitioner - Family

NPI 1588124556

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

22 Historical Events
๐Ÿ“
Updated Practice Location August 14, 2024

Registered at 7900 W JEFFERSON BLVD STE 306, FORT WAYNE, IN 468044128 (Tel: 2604793514)

๐Ÿ“
Updated Business Mailing Address August 14, 2024

Registered at 6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 468047934 (Tel: 2604793514)

๐Ÿ‘ค
Provider Name / Credentials Updated August 14, 2024

Recorded as NICOLE KELLNER, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2024

Physician Assistant (license number reported to NPPES: IN 10004106A)

๐Ÿ“
Updated Practice Location January 07, 2022

Registered at 40 MEDICAL PARK BLVD, SUITE A, PETERSBURG, VA 238059289 (Tel: 8045206730)

๐Ÿ“
Updated Practice Location October 08, 2020

Registered at 9460 AMBERDALE DR STE D, NORTH CHESTERFIELD, VA 232361259 (Tel: 8045330220)

๐Ÿ“
Updated Business Mailing Address October 08, 2020

Registered at PO BOX 402924, ATLANTA, GA 303842924 (Tel: 8043202705)

๐Ÿ“
Updated Business Mailing Address February 06, 2020

Registered at 8580 MAGELLAN PKWY, RICHMOND, VA 232271149 (Tel: 8045206730)

โœ…
NPI Profile Active January 19, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address January 19, 2018

Registered at 436 CLAIRMONT CT STE 105, COLONIAL HEIGHTS, VA 238341765 (Tel: 8045206730)

๐Ÿ“
Updated Practice Location January 19, 2018

Registered at 40 MEDICAL PARK BLVD, SUITE A, PETERSBURG, VA 238059289 (Tel: 8045206730)

๐Ÿ‘ค
Provider Name / Credentials Updated January 19, 2018

Recorded as NICOLE KELLNER, P.A.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2018

Physician Assistant (license number reported to NPPES: VA 0110004771)

๐Ÿ“
Updated Practice Location April 18, 2017

Registered at 40 MEDICAL PARK BLVD, SUITE A, PETERSBURG, VA 238059289 (Tel: 8045047900)

๐Ÿ“
Updated Business Mailing Address April 18, 2017

Registered at 40 MEDICAL PARK BLVD, SUITE A, PETERSBURG, VA 238059289 (Tel: 8045047900)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2017

Physician Assistant (license number reported to NPPES: VA 0110004771)

โœ…
NPI Profile Active April 02, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 02, 2013

Registered at 45TH AND PENN, CHILDREN'S HOSPITAL DRIVE, PITTSBURGH, PA 152019998 (Tel: 4126925887)

๐Ÿ“
Business Mailing Address (Initial Record) April 02, 2013

Registered at 200 LOTHROP ST, FORBES TOWER ROOM 9055, PITTSBURGH, PA 152132536 (Tel: 4126473087)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 02, 2013

Recorded as NICOLE KELLNER, P.A.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 02, 2013

Physician Assistant (license number reported to NPPES: PA MA055720)

๐ŸŸข
Initial NPI Registration & Enumeration September 25, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245581677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2012
Last Update: August 14, 2024
Sole Proprietor: No

Other Physician Assistants in Fort Wayne

All Physician Assistants in Fort Wayne

Mailing Address

6920 Pointe Inverness Way Ste 200

Fort Wayne, IN 468047934

Phone: 2604793514

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.