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

Kelsey Landis

Individual provider Registered Nurse · NPI 1730718180

Kelsey Landis is a Nurse Practitioner in Fort Wayne, Indiana. Qualified in 2020, 6 years ago. Practices with Parkview Health System Inc, a 1,336-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
6
Licensed in
IN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2231 Carew St
Fort Wayne, IN 46805-4713
Phone: (260) 373-5436
Fax: (260) 373-6470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71010126A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28227063A (IN)

Record details

NPI number1730718180
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2020
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022
Mailing address11109 Parkview Plaza Drive, Mailbox 117, Fort Wayne, IN 46845-1701

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Parkview Health System Inc — 1336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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