Kimberly Anne Mcgillicuddy, PMH-NP in Shelbyville, IN

Kimberly Anne Mcgillicuddy, PMH-NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Shelbyville, Indiana. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Major Hospital and her current practice location is 2451 Intelliplex Dr Suite 260, Shelbyville, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 398-0121.

Kimberly Anne Mcgillicuddy is licensed to practice in Indiana (license number 71007536A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255840401.

Contact Information

	Kimberly Anne Mcgillicuddy, PMH-NP
	2451 Intelliplex Dr Suite 260, Shelbyville, IN 46176-8580
	(317) 398-0121
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Anne Mcgillicuddy
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	2451 Intelliplex Dr Suite 260, Shelbyville, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Anne Mcgillicuddy graduated from nursing school in 2017

NPI Data:

NPI Number: 1255840401
Provider Enumeration Date: 09/20/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 1254607336
Enrollment ID: I20171017001726

Medical Identifiers

Medical identifiers for Kimberly Anne Mcgillicuddy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255840401	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71007536A (Indiana)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	71007536A (Indiana)	Primary
163W00000X	Registered Nurse	28199185A (Indiana)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Major Hospital	0446167415	77

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Anne Mcgillicuddy allows following entities to bill medicare on her behalf.

Entity Name	Major Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174555692 PECOS PAC ID: 0446167415 Enrollment ID: O20040108000586

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

Entity Name	Onhealthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417220369 PECOS PAC ID: 8527221480 Enrollment ID: O20120514000325

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Anne Mcgillicuddy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Anne Mcgillicuddy, PMH-NP 30 W Rampart St Suite 200, Shelbyville, IN 46176-8846 Ph: (317) 421-2012	Kimberly Anne Mcgillicuddy, PMH-NP 2451 Intelliplex Dr Suite 260, Shelbyville, IN 46176-8580 Ph: (317) 398-0121

Reviews and Comments

Nurse Practitioner Nurses in Shelbyville, IN

Ann Elizabeth Klosterkemper, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2158 Intelliplex Dr Ste 100, Shelbyville, IN 46176 Phone: 174-211-9803 Fax: 317-398-1822
Tamara Reed, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr Ste 260, Shelbyville, IN 46176 Phone: 317-398-0121 Fax: 317-398-0538
Mrs. Leann Michelle Toliver, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2455 Intelliplex Dr, Shelbyville, IN 46176 Phone: 317-392-3211
Mary A Wentzel, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr Ste 220, Shelbyville, IN 46176 Phone: 317-893-1900 Fax: 317-398-1849
Karen Patterson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2451 Intelliplex Dr, Suite 200, Shelbyville, IN 46176 Phone: 317-398-0193
Mrs. Regina Sue Kuhn, MSN APRN FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 W Rampart St Ste 250, Shelbyville, IN 46176 Phone: 317-398-7644
Mr. Andrew Maroska, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2451 Intelliplex Dr, Shelbyville, IN 46176 Phone: 317-392-3211 Fax: 317-398-1814

Kimberly Anne Mcgillicuddy, PMH-NP - Medicare Nurse Practitioner in Shelbyville, IN