Chantel Kelly Anderson, NP - Medicare Nurse Practitioner in Lafayette, IN

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Chantel Kelly Anderson, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lafayette, Indiana. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice La Porte Clinic Company Llc, Pic Indiana Pc and her current practice location is 1500 Salem St, Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 250-9211.

Chantel Kelly Anderson is licensed to practice in Indiana (license number 71002987A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235369380.

Contact Information

Chantel Kelly Anderson, NP
1500 Salem St,
Lafayette, IN 47904-2147
(765) 250-9211
Not Available

Map and Direction




Provider's Profile

Full NameChantel Kelly Anderson
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location1500 Salem St, Lafayette, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Chantel Kelly Anderson graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1235369380
  • Provider Enumeration Date: 07/23/2009
  • Last Update Date: 07/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2668412479
  • Enrollment ID: I20091001000005

Medical Identifiers

Medical identifiers for Chantel Kelly Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235369380NPI-NPPES
71002987AOtherINNP LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 71002987A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71002987A (Indiana)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 71002987A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
La Porte HospitalLa porte, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
La Porte Clinic Company Llc044655835761
Pic Indiana Pc347679023978

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chantel Kelly Anderson allows following entities to bill medicare on her behalf.
Entity NamePulaski Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740403419
PECOS PAC ID: 3173515509
Enrollment ID: O20040402000963
Entity NamePorter Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508075680
PECOS PAC ID: 1850482407
Enrollment ID: O20070810000409
Entity NamePulaski Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1306928213
PECOS PAC ID: 3173515509
Enrollment ID: O20071214000021
Entity NamePic Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942546890
PECOS PAC ID: 3476790239
Enrollment ID: O20130515000110
Entity NameLa Porte Clinic Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568829224
PECOS PAC ID: 0446558357
Enrollment ID: O20160408001751

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chantel Kelly Anderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chantel Kelly Anderson, NP
1500 Salem St,
Lafayette, IN 47904-2147

Ph: (765) 254-5172		Chantel Kelly Anderson, NP
1500 Salem St,
Lafayette, IN 47904-2147

Ph: (765) 250-9211

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.