Kimberly Kay Dietrich, NP - Medicare Nurse Practitioner in Bremen, IN

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Kimberly Kay Dietrich, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Bremen, Indiana. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Theoria Medical, Psychplus Medical Associates Pllc and her current practice location is 417 S Whitlock St, Bremen, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 546-0330.

Kimberly Kay Dietrich is licensed to practice in Indiana (license number 71010955A) 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 1497349666.

Contact Information

Kimberly Kay Dietrich, NP
417 S Whitlock St,
Bremen, IN 46506-1626
(574) 546-0330
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Kay Dietrich
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location417 S Whitlock St, Bremen, Indiana
Accepts Medicare AssignmentsYes. 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 Kay Dietrich graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1497349666
  • Provider Enumeration Date: 02/26/2021
  • Last Update Date: 12/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395151609
  • Enrollment ID: I20210311001849

Medical Identifiers

Medical identifiers for Kimberly Kay Dietrich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497349666NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 71010955A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Hospital Of Bremen IncBremen, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Theoria Medical5395098339317
Psychplus Medical Associates Pllc266881346042

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 Kay Dietrich allows following entities to bill medicare on her behalf.
Entity NameAims LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376072785
PECOS PAC ID: 6406126572
Enrollment ID: O20170721002478
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20211209000803
Entity NamePsychiatry of Texas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013476027
PECOS PAC ID: 0345573598
Enrollment ID: O20240329000676
Entity NamePsychplus Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558118026
PECOS PAC ID: 2668813460
Enrollment ID: O20240808000302
Entity NameComplexcare Medical Group Midwest M PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528851607
PECOS PAC ID: 1355858630
Enrollment ID: O20250906000629
Entity NameComplexcare Medical Group Midwest H PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457144933
PECOS PAC ID: 0143737148
Enrollment ID: O20250909002112
Entity NameIndiana United Psych LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558237693
PECOS PAC ID: 8820582125
Enrollment ID: O20251215000607

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 Kay Dietrich 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 AddressPractice Location Address
Kimberly Kay Dietrich, NP
417 S Whitlock St,
Bremen, IN 46506-1626

Ph: (574) 546-0330		Kimberly Kay Dietrich, NP
417 S Whitlock St,
Bremen, IN 46506-1626

Ph: (574) 546-0330

Reviews and Comments


Nurse Practitioner Nurses in Bremen, IN

Mrs. Lensa Gideon Girsha, BSN, MS, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 417 S Whitlock St, Bremen, IN 46506
Phone: 574-546-3730    
Jessica Rae Ebey, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1120 W South St, Bremen, IN 46506
Phone: 574-301-7012    Fax: 574-301-7025
Graciela Jimenez-martinez, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1217 W Plymouth St, Bremen, IN 46506
Phone: 574-546-0654    Fax: 888-815-1434
Sharlotte Brown, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1144 W Plymouth St, Bremen, IN 46506
Phone: 574-546-5363    Fax: 574-546-2575
Ernest Dontae Young, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 417 S Whitlock St, Bremen, IN 46506
Phone: 574-546-0330    
Alyssa Ingle, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1144 W Plymouth St, Bremen, IN 46506
Phone: 574-546-5363    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.