Kimberly Marie Anderson, in Valparaiso, IN - Medicare Nurse Practitioner

Kimberly Marie Anderson, is a medicare enrolled "Nurse Practitioner - Family" in Valparaiso, Indiana. Her current practice location is 3800 Saint Mary Rd Ste 102, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 286-3707.

Kimberly Marie Anderson is licensed to practice in Indiana (license number 71008722A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255804613.

Contact Information

	Kimberly Marie Anderson,
	3800 Saint Mary Rd Ste 102, Valparaiso, IN 46383-3986
	(219) 286-3707
	(219) 286-3708

Map and Direction

Provider's Profile

Full Name	Kimberly Marie Anderson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3800 Saint Mary Rd Ste 102, Valparaiso, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255804613
Provider Enumeration Date: 01/09/2019
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 3072851369
Enrollment ID: I20190212001588

Medical Identifiers

Medical identifiers for Kimberly Marie Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255804613	NPI	-	NPPES
300023556	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.019967 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	71008722A (Indiana)	Primary

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 Marie Anderson allows following entities to bill medicare on her behalf.

Entity Name	Northshore Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114257300 PECOS PAC ID: 5799671236 Enrollment ID: O20040827000220

Entity Name	Minuteclinic Diagnostics Of Indiana Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932171634 PECOS PAC ID: 3072548502 Enrollment ID: O20051003000830

Entity Name	Community Care Network Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331

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 Marie Anderson 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 Marie Anderson, 8558 Broadway, Merrillville, IN 46410-7032 Ph: (219) 392-7084	Kimberly Marie Anderson, 3800 Saint Mary Rd Ste 102, Valparaiso, IN 46383-3986 Ph: (219) 286-3707

Reviews and Comments

Nurse Practitioner Nurses in Valparaiso, IN

Miss Jessica Diehl, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2307 Laporte Ave Ste 8, Valparaiso, IN 46383 Phone: 219-464-7073 Fax: 219-464-7543
Elizabeth Victoria Moerman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Lincolnway, Valparaiso, IN 46383 Phone: 219-247-4003 Fax: 574-203-9702
Asha Koshy, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Sturdy Rd, Valparaiso, IN 46383 Phone: 219-462-7173 Fax: 219-462-7504
Ms. Chrysanthemum M Davis, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1551 South Sturdy Rd., Valparaiso, IN 46383 Phone: 219-531-0200 Fax: 219-531-0045
Melissa M Dvorscak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1105 Cumberland Xing, Valparaiso, IN 46383 Phone: 219-763-8112 Fax: 219-764-5380
Frances Denean Laka, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1805 Calumet Ave, Valparaiso, IN 46383 Phone: 574-215-1039
Mrs. Karla Joann Hanson, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Roosevelt Rd Bldg A, Valparaiso, IN 46383 Phone: 219-263-7240

Kimberly Marie Anderson, - Medicare Nurse Practitioner in Valparaiso, IN