Kelly Dejong, FNP-C - Medicare Nurse Practitioner in Munster, IN

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Kelly Dejong, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Munster, Indiana. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Care Network Inc, Orthopaedic Specialists Of Northwest Indiana Pc and her current practice location is 730 45th Ave, Munster, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 924-3300.

Kelly Dejong is licensed to practice in Indiana (license number 71005868A) 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 1417329707.

Contact Information

Kelly Dejong, FNP-C
730 45th Ave,
Munster, IN 46321-2818
(219) 924-3300
(219) 934-2658

Map and Direction




Provider's Profile

Full NameKelly Dejong
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location730 45th Ave, Munster, 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:
  • Kelly Dejong graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1417329707
  • Provider Enumeration Date: 10/26/2015
  • Last Update Date: 03/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204122252
  • Enrollment ID: I20160831001053

Medical Identifiers

Medical identifiers for Kelly Dejong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417329707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71005868A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Catherine Hospital IncEast chicago, INHospital
Community HospitalMunster, INHospital
Franciscan Health DyerDyer, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Care Network Inc3678737012346
Orthopaedic Specialists Of Northwest Indiana Pc509278890115

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. Kelly Dejong allows following entities to bill medicare on her behalf.
Entity NameOrthopaedic Specialists Of Northwest Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497865794
PECOS PAC ID: 5092788901
Enrollment ID: O20040818000914
Entity NameCommunity Care Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457610487
PECOS PAC ID: 3678737012
Enrollment ID: O20120614000331
Entity NameOrthopedic Specialists Of Northwest Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417475658
PECOS PAC ID: 0547527400
Enrollment ID: O20171130001808

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. Kelly Dejong 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
Kelly Dejong, FNP-C
Po Box 3329,
Munster, IN 46321-0329

Ph: (219) 924-3300		Kelly Dejong, FNP-C
730 45th Ave,
Munster, IN 46321-2818

Ph: (219) 924-3300

Reviews and Comments


Nurse Practitioner Nurses in Munster, IN

Konstantina Gardikiotes, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9410 Calumet Ave Ste 101, Munster, IN 46321
Phone: 219-922-8051    
Jennifer Dawn Stone, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9250 Columbia Ave Ste 2e, Munster, IN 46321
Phone: 219-595-0043    Fax: 219-237-2894
Kathleen A Carlson, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 761 45th St Ste 103, Munster, IN 46321
Phone: 219-922-3002    Fax: 219-922-3003
Mrs. Amara Donella Dickerson, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9410 Calumet Ave Ste 401, Munster, IN 46321
Phone: 219-922-4900    Fax: 219-836-9922
Jennifer Lee Franklin, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 701 Superior Ave Ste 2700, Munster, IN 46321
Phone: 219-922-7168    Fax: 219-922-7170
Olaide Avoseh,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9128 Columbia Ave, Munster, IN 46321
Phone: 219-836-2730    
Brett Allen Milkevitch, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7905 Calumet Ave, Munster, IN 46321
Phone: 219-836-5800    Fax: 219-836-3048

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.