KARISSA R KREIDER (FNP) – Nurse Practitioner, NPI 1821423393
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for KARISSA R KREIDER (FNP)
413 E JEFFERSON BLVD
FORT WAYNE, IN 468023201
Phone:
Type: Mailing
416 E MAUMEE ST
ANGOLA, IN 467032015
Phone:
Type: Mailing
301 E MAUMEE ST
ANGOLA, IN 467032012
Phone: (260) 675-7235
Type: Location
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 468451701
Phone:
Type: Mailing
6920 POINTE INVERNESS WAY STE 120
FORT WAYNE, IN 468047926
Phone: (260) 436-4060
Fax: (260) 436-5713
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $562.
Total Amount is formed as General ($562) + Research ($0) + Ownership ($0) = $562.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lundbeck LLC ($347).
Total Amount
$562
General + Research + Ownership
Payments
22
Total payment records
General Amount
$562
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $347 |
| Otsuka America Pharmaceutical, Inc. | $53 |
| Axsome Therapeutics, Inc. | $46 |
| Alkermes, Inc. | $35 |
| Biogen, Inc. | $29 |
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: 2017-01-23
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 |
|---|---|---|---|---|
| I20170123001900 | 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 | 114 | 46 | $0 |
Insurance plans in this area (ZIP 46802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Psychiatry, Geriatric Psychiatry | IN | |
| General Surgery | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| - | OH |
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