ANN ELIZABETH KLOSTERKEMPER (CNP) – Family Nurse Practitioner, NPI 1013468982
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
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Provider Addresses for ANN ELIZABETH KLOSTERKEMPER (CNP)
2158, Intelliplex Drive, Shelbyville, Shelby County, Indiana, 46176, United States
STE 100
SHELBYVILLE, IN 461768548
Phone: (513) 792-7800
Fax: (513) 792-4827
Type: Mailing
Intelliplex Drive, Shelbyville, Shelby County, Indiana, 46176, United States
SHELBYVILLE, IN 461768548
Phone: (174) 211-9803
Fax: (317) 398-1822
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-08-17 • Largest payer in this snapshot: Smith+Nephew, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $15 |
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: 2017-08-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170803001945 | I | Nurse Practitioner | IN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 24 | 23 | $0 |
| 11104 | Punch biopsy, first skin growth | 22 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 46176)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | NY | |
| Radiation Oncology | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| General Surgery | IN | |
| - | IN | |
| N E U R O L O G Y | IN | |
| Radiation Oncology | IN | |
| Nurse Practitioner | IN | |
| P O D I A T R Y | IN |
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