Kelly Stewart Hutner, PSY.D., HSPP
NPI 1053628248ActiveIndividual· Psychologist, Clinical· Fort Wayne, IN
Psychologist, Clinical (PSY.D., HSPP) with Parkview Health System Inc, practicing in Fort Wayne, Indiana. Medicare paid $15,955 for services to 114 patients in 2024.
Overview
| NPI | 1053628248 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D., HSPP |
| Sole proprietor | Yes |
| NPI issued | Sep 9, 2010 |
| Last updated in NPPES | Oct 11, 2022 |
| Certified by provider | Oct 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 20041507A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 141 across 5 procedure codes |
| Paid by Medicare | $15,955 |
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Parkview Health System IncFort Wayne, IN · 1,377 clinicians
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