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

Kelley Christoffel

Individual provider Family Nurse Practitioner · NPI 1043031693

Kelley Christoffel is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2024, 2 years ago. Practices with Ear Nose and Throat Associates PC, a 36-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
2
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

10021 Dupont Circle Ct
Fort Wayne, IN 46825-1604
Phone: (260) 426-8117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71015918A (IN)

Record details

NPI number1043031693
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2024
Last updated in NPPESOctober 17, 2024
Certification dateOctober 17, 2024
Mailing address12825 Crystal Creek Pkwy, Fort Wayne, IN 46845-2360

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ear Nose And Throat Associates Pc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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