Kathryn M Gjeldum

ANP-BC | Nurse Practitioner | 30+ years Exp

6375 Us Highway 6 Ste B, Portage
  Indiana, 46368-5218
219-762-0400
Accepts Medicare Nurse Anesthetist in Portage, Indiana.
Kathryn M Gjeldum is a Portage, Indiana based nurse practitioner with 30 years of experience in . She completed her graduation in 1995. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kathryn M Gjeldum is 71001746A for Adult Health in Indiana. Her current practice location is 6375 Us Highway 6 Ste B, Portage. Patients can reach her at 219-762-0400 or can fax her at 219-762-2460. Kathryn M Gjeldum is ANP-BC and her NPI number (Unique professional ID assigned by NPPES) is 1336165406.
Kathryn M Gjeldum has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kathryn M Gjeldum speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Kathryn M Gjeldum
Specialization: Nurse Practitioner (NP)
Gender:Female
Credentials: ANP-BC
Experience: 30+ years
Medical School Attended:Other
Graduation Year:1995
Accepts Medicare Assignment:Yes
Practice Address:6375 Us Highway 6 Ste B, Portage,
Indiana, 46368-5218
Phone:219-762-0400
Fax:219-762-2460
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4587755509
Enrollment ID: I20070806000577
NPI Number: 1336165406
NPI Enumeration Date: 14 Jul, 2006
NPI Last Update On: 06 Nov, 2025

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kathryn M Gjeldum are as mentioned below.
License NumberSpecializationStateStatus
71001746AAdult Health IndianaPrimary
71001746ANurse Practitioner IndianaSecondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(150034)Hobart, INAcute Care Hospital
(150125)Munster, INAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name with which Kathryn M Gjeldum is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Community Care Network Inc (3678737012)361
Other Medical Identifiers:
Other legacy medical identifiers associated with Kathryn M Gjeldum such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
000000594185OtherIndianaANTHEM BC/BS
200805880MedicaidIndiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Kathryn M Gjeldum
10625 Olcott Ave,
Saint John, Indiana
Zip: 46373-8966
Phone Number: 219-677-9672
Patients can reach Kathryn M Gjeldum at 6375 Us Highway 6 Ste B, Portage, Indiana or can call to book an appointment on 219-762-0400.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.