KIMBERLY SUE BANEY FNP-C
NPI 1083415053
Nurse Practitioner in Mentone, IN

Active since March 24, 2025PECOS EnrolledAccepts Medicare Assignment
3440 S TINKEY RD, MENTONE, IN 46539(574) 253-5809 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Sue Baney Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY SUE BANEY FNP-C (NPI 1083415053) is an individual nurse practitioner in Mentone, Indiana, licensed in Indiana (28173352A) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1083415053
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY SUE BANEYCredential: FNP-C
Location Address3440 S TINKEY RDMentone, IN 46539-9288
Mailing Address3440 S Tinkey RdMentone, IN 46539-9288 · (574) 253-5809
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1083415053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 28173352A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3440 S TINKEY RD, Mentone, IN 46539

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Sue Baney Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941713440
PECOS Enrollment IDI20250627003332
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Baney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
6326 CONSTITUTION DR
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • 52 clinicians in this Medicare group
Internal Medicine
3518 S LAFOUNTAIN ST
Kokomo, IN 46902
  • Reassigned Medicare billing, Indiana enrollment
  • 18 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Acute Care Hospitals · Logansport, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150072
Location1101 Michigan AveLogansport, IN 46947 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46539 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Baney's NPI number?

The NPI number for Kimberly Baney is 1083415053. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Kimberly Baney located?

Kimberly Baney practices at 3440 S Tinkey Rd, Mentone, IN 46539. The listed phone number is (574) 253-5809.

What is Kimberly Baney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Baney enrolled in Medicare?

Yes. Kimberly Baney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Baney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Baney reassigns Medicare benefits to 2 organizations: Rp Care LLC (Fort Wayne, IN) and Chestnut Health Of Indiana PC (Kokomo, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Baney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Baney accept?

Health plans from UnitedHealthcare list Kimberly Baney as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Baney affiliated with any hospitals?

According to CMS data, Kimberly Baney is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Baney was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.