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PROVIDER PROFILE · NPI 1245581677

Nicole KellnerPA

Physician AssistantFort Wayne, INI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (1)

CCN 150017
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
14
Unique beneficiaries
—
Total services
21
Distinct HCPCS
1
Medicare payment
$649
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,836 Physician Assistant providers in IN — bottom quintile (cohort median 236).
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
91.0
Quality
77.4
Cost
0.0
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.67%
APM Entity
REFERRAL NETWORK

Where Nicole Kellner's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 9 inbound referrers · 12 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
PETERSBURG HOSPITAL COMPANY LLC87174
Tejwant Datta
General Surgery · North Chesterfield, VA
74164
Cary Straton
Diagnostic Radiology · Richmond, VA
3447
COLUMBIA/HCA JOHN RANDOLPH, INC.1625
Michele Brenner-Vincent
Diagnostic Radiology · Richmond, VA
1419
Suel Kim
Internal Medicine · Petersburg, VA
1216
STANLEY, TIMOTHY1215
FIDLER, ROBERT1219
Jasdeep Dalawari
Interventional Cardiology · Sunnyside, WA
1117
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Tejwant Datta
General Surgery · North Chesterfield, VA
76149
PETERSBURG HOSPITAL COMPANY LLC3790
SIEGMUND, BRAD2126
SUMMERVILLE, JOHN2024
BARRON, DEBORAH2022
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
2034
NPI 17503849541732
Jeffrey Morgan
Diagnostic Radiology · Richmond, VA
1218
Yiping Rao
Gastroenterology · Glen Allen, VA
1258
Rajwinder Gill
Anesthesiology · Petersburg, VA
1214
Craig Rowell
Diagnostic Radiology · Richmond, VA
1114
Moin Saiyed
Anesthesiology · Richmond, VA
1116
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$69
Payment records
4
By payment type
Food and Beverage$69