MARISHA A KLINGENBERGER (NP) – Nurse Practitioner, NPI 1093766784
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for MARISHA A KLINGENBERGER (NP)
401 N Sawyer Rd
Kendallville, IN 467552568
Phone: (260) 347-8700
Fax: (260) 347-8617
Type: Location
2001 Stults Rd
Huntington, IN 467501291
Phone: (260) 355-3000
Fax: (260) 355-3170
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
2200 RANDALLIA DR
FORT WAYNE, IN 468054638
Phone: (260) 373-6070
Fax: (260) 373-6704
Type: Location
7900, West Jefferson Boulevard, Brierwood Hills, Fort Wayne, Allen County, Indiana, 46804, United States
SUITE 201
FORT WAYNE, IN 468044128
Phone: (260) 969-7100
Fax: (260) 969-7101
Type: Mailing
1818, Carew Street, Fort Wayne, Allen County, Indiana, 46805, United States
SUITE 110
FORT WAYNE, IN 468054788
Phone: (260) 969-7600
Fax: (260) 969-7702
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $394.
Total Amount is formed as General ($394) + Research ($0) + Ownership ($0) = $394.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Smith+Nephew, Inc. ($210).
Total Amount
$394
General + Research + Ownership
Payments
14
Total payment records
General Amount
$394
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $210 |
| Organogenesis Inc. | $139 |
| Urgo Medical North America, LLC | $45 |
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: 2007-08-14
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 |
|---|---|---|---|---|
| I20070814000296 | 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 |
|---|---|---|---|---|
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 77 | 32 | $0 |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 77 | 25 | $0 |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 42 | 15 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 34 | 17 | $0 |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 46755)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | NM | |
| - | IN | |
| Nurse Practitioner | IN | |
| Family Practice | IN | |
| - | IN | |
| - | IN | |
| Infectious Disease | IN | |
| Internal Medicine | IN | |
| - | IN |
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