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

Kelly A Anderson, NP

Individual provider Adult Health Nurse Practitioner · NPI 1043592033

Kelly A Anderson, NP is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2011, 15 years ago. Practices with Kingston Care Partners, LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
15
Licensed in
IN
In the registry since
2011
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

7900 W Jefferson Blvd Ste 304
Fort Wayne, IN 46804-4128
Phone: (260) 969-6200
Fax: (260) 969-6201
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 71003789A (IN)

Record details

NPI number1043592033
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 15, 2011
Last updated in NPPESJanuary 13, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Kingston Care Partners, Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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