KIMBERLY SCOTT APRN-BC
NPI 1164972055
Nurse Practitioner - Family in Munster, IN

Q: What is Kimberly Scott's NPI number?

The NPI number for Kimberly Scott is 1164972055. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Q: What is Kimberly Scott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Scott was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since October 04, 2016PECOS EnrolledAccepts Medicare Assignment

9112 COLUMBIA AVE, MUNSTER, IN 46321(219) 836-5040(219) 836-6835 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Scott Aprn-bc NPPES

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

KIMBERLY SCOTT APRN-BC (NPI 1164972055) is an individual family provider in Munster, Indiana, licensed in Indiana (71015908A) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with St Catherine Hospital Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1164972055

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY SCOTTCredential: APRN-BC

Location Address9112 COLUMBIA AVEMunster, IN 46321-2925

Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854

Phone(219) 836-5040

Fax(219) 836-6835

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 4, 2016

Last NPPES UpdateDecember 2, 2024

NPPES CertifiedDecember 2, 2024

✔ NPI 1164972055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IN · 71015908A✔ Licensed in IL · 209.014787

9112 COLUMBIA AVE, Munster, IN 46321

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Other Identifiers 1

Medicaid300098151IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Scott Aprn-bc 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 ID1850679150

PECOS Enrollment IDI20161020000810, I20241023002211

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.

Hospital Affiliations CMS Care Compare 2

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

St Catherine Hospital Inc

Acute Care Hospitals · East Chicago, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150008

Location4321 Fir StreetEast Chicago, IN 46312 · Lake County

Emergency services Birthing friendly

Community Hospital

Acute Care Hospitals · Munster, IN

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150125

Location901 Macarthur BlvdMunster, IN 46321 · Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46321 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

54%101 patients3/55-star benchmark: 93%

Colorectal Cancer Screening

14%189 patients1/55-star benchmark: 88%

Diabetes: Eye Exam

12%89 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

46%89 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

47%2,587 patients2/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

32%1,003 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 38% · 985 patients

Patients screened: 42% · 985 patients

36%67 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

219 HEALTH NETWORK, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

9112 COLUMBIA AVE
MUNSTER, IN 46321

Lake County (219) 836-5040

PANKAJ J. PATWARI M.D.

Radiology (Diagnostic Radiology)

9112 COLUMBIA AVE
MUNSTER, IN 46321

Lake County (219) 836-7904

PATWARI MEDICAL CORPORATION

Radiology (Diagnostic Radiology)

9112 COLUMBIA AVE
MUNSTER, IN 46321

Lake County (219) 836-7904

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 Scott's NPI number?

The NPI number for Kimberly Scott is 1164972055. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Kimberly Scott located?

Kimberly Scott practices at 9112 Columbia Ave, Munster, IN 46321. The listed phone number is (219) 836-5040.

What is Kimberly Scott's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Scott enrolled in Medicare?

Yes. Kimberly Scott 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.

What insurance does Kimberly Scott accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Kimberly Scott 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 Scott affiliated with any hospitals?

According to CMS data, Kimberly Scott is affiliated with St Catherine Hospital Inc and Community Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Scott was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.