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

Kathryn M Gjeldum, ANP-BC

Individual provider Nurse Practitioner · NPI 1336165406

Kathryn M Gjeldum, ANP-BC is a Nurse Practitioner in Portage, Indiana. Qualified in 1995, 31 years ago. Accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
31
Licensed in
IN
In the registry since
2006
Specialties on file
2

Practice location Address checks out

6375 US Highway 6 Ste B
Portage, IN 46368-5218
Phone: (219) 762-0400
Fax: (219) 762-2460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 71001746A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71001746A (IN)

Record details

NPI number1336165406
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP-BC
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Portage