Stephanie Kay Kertes, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

28184746A Issued in IN

Practice address

5230 Beck Dr Ste 3
Elkhart, IN 46516-9059

Phone

(574) 622-1522

Fax

(574) 699-6588

NPI assigned

Aug 17, 2015

Reactivated

Nov 11, 2021

Last updated

Oct 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, MI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sound Inpatient Physicians-Michigan PLLCGroup PAC ID 5395896849, 168 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Borgess Lee Hospital Hospital, Dowagiac, MI, CCN 231315

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sound Inpatient Physicians-Michigan, PLLC

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1093967861
  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Indiana PC

  • Internal Medicine Physician
  • Goshen, IN
  • NPI 1093973885
  Medicare reassignment NPD
• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138

  IN

  Medicare reassignment NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Portage, MI
  • NPI 1669091864
  Medicare reassignment NPD
• Apogee Medical Group, Michigan, PC

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1053655134

  MI

  Medicare reassignment
• Sound Inpatient Physicians - Michigan, PLLC

  dba Sound Physicians

  • Hospitalist Physician
  • Escanaba, MI
  • NPI 1366768178
  NPD
• Vpa PC

  dba HarmonyCares Medical Group

  • Family Medicine Physician
  • Troy, MI
  • NPI 1336153295
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beacon Dowagiac, Inc

  • Critical Access Hospital
  • Dowagiac, MI
  • NPI 1194771030
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1326414160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65460 W PENINSULA DR",
            "city": "CASSOPOLIS",
            "state": "MI",
            "postal_code": "490319526",
            "telephone_number": "574-622-1522",
            "fax_number": "574-699-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 BECK DR STE 3",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169059",
            "telephone_number": "574-622-1522",
            "fax_number": "574-699-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTES",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "deactivation_date": "2021-10-17",
        "reactivation_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704338384",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28184746A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kelly, RBT
• Kimberly Kelly
• Suzanne Kempiak, RN
• Katrina Ann Kennedy, NP
• Zoe Kenner
• Jacob Floyd Keultjes, MSN, FNP-C
• Daomany Khounsavat
• Leonard J Kibiloski, MD
• Emily Marie Kiefer, PTA
• Theresa Louise Kiefer, COTA

• Adult Health Nurse Practitioner in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.