KELLY MAE LOSINIECKI (NP) – Family Nurse Practitioner, NPI 1013288448

KELLY MAE LOSINIECKI (NP) is a healthcare provider. based in South bend, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 71003885A (IN). The NPI Number for KELLY MAE LOSINIECKI (NP) is 1013288448

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KELLY MAE LOSINIECKI (NP)
NPI
1013288448
Phone
(574) 237-9231
Address
211 N EDDY ST
Enumeration Date
17 January 2012
Last Update Date
7 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5742348161
Graduation Year
2011 (15 years ago)
PAC ID
3476714759
Group Practice PAC ID
3779577937
Professional Enrollment ID
I20120412000637
Address ID
IN466172808SO211XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for KELLY MAE LOSINIECKI (NP)

  • 211 N EDDY ST

    SOUTH BEND, IN 466172808

    Phone: (574) 237-9231

    Type: Mailing

  • 211 N EDDY ST.

    SOUTH BEND, IN 466173096

    Phone: (574) 237-9231

    Fax: (574) 204-6355

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,719.

Total Amount is formed as General ($1,719) + Research ($0) + Ownership ($0) = $1,719.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($366).

Total Amount

$1,719

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,719

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-04-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120412000637INurse PractitionerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths39784$0
99213Established patient office or other outpatient visit, 20-29 minutes348257$0
17000Destruction of precancer skin growth, 1 growth173132$0
99214Established patient office or other outpatient visit, 30-39 minutes10977$0
11102Biopsy of related skin growth, first growth9283$0
View full utilization report →

Insurance plans in this area (ZIP 46617)

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Provider's Procedures

KELLY MAE LOSINIECKI (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIN11101Biopsy of each additional growth of skin and/or tissue2216
NURSE PRACTITIONERIN17003Destruction of 2-14 skin growths28465

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779577937View full group profile
NameSpecialtyState
-IN
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
-IN
Family PracticeKY
Family PracticeIN
O P H T H A L M O L O G YIN
Physician AssistantIN
Family PracticeIN
Physician AssistantIN

Reviews

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Frequently asked questions

What unique ID ties claims to KELLY MAE LOSINIECKI (NP)?
NPI 1013288448 is assigned to KELLY MAE LOSINIECKI (NP) under the national enumeration system.
Is KELLY MAE LOSINIECKI (NP)'s NPI currently valid?
The extract we use shows KELLY MAE LOSINIECKI (NP) as active.
Can you summarize KELLY MAE LOSINIECKI (NP)'s specialty in plain language?
Clinically, the directory lists KELLY MAE LOSINIECKI (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KELLY MAE LOSINIECKI (NP) practice in Indiana?
You will see South Bend, Indiana on file for KELLY MAE LOSINIECKI (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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