Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evelin Keultjes, NP

Individual provider Nurse Practitioner · NPI 1699322446

Evelin Keultjes, NP is a Nurse Practitioner in South Bend, Indiana. Qualified in 2019, 7 years ago. Practices with Cardinal Dermatology LLC, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1815 E Ireland Rd
South Bend, IN 46614-2845
Phone: (574) 647-1700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2120 Rieth Blvd Ste A, Goshen, IN 46526-5858 — (574) 875-5126
  • 2120 Rieth Blvd Ste C, Goshen, IN 46526-5858 — (574) 875-6911

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009377A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 28216118A (IN)

Record details

NPI number1699322446
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 26, 2019
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Cardinal Dermatology Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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