KELSEY DODD KANNOOKADEN (PA-C) – Physician Assistant, NPI 1194313254
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for KELSEY DODD KANNOOKADEN (PA-C)
1100 MERCER AVE
DECATUR, IN 467332303
Phone: (262) 832-4282
Type: Location
1320 W 90TH PL APT 306
MERRILLVILLE, IN 464106753
Phone: (262) 832-4282
Type: Mailing
10010 DONALD S POWERS DR
MUNSTER, IN 463214054
Phone: (219) 934-4200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $714.
Total Amount is formed as General ($714) + Research ($0) + Ownership ($0) = $714.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($197).
Total Amount
$714
General + Research + Ownership
Payments
26
Total payment records
General Amount
$714
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-03-23
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 |
|---|---|---|---|---|
| I20210323000200 | I | Physician Assistant | 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 | 38 | 35 | $0 |
Insurance plans in this area (ZIP 46733)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IN | |
| Mental Health Counselor | IN | |
| Emergency Medicine | NE | |
| Family Practice | IN | |
| Mental Health Counselor | IN | |
| Clinical Social Worker | IN | |
| Physician Assistant | IN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Family Practice | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.