KIMBERLEE LYNN ACTON FNP-C
NPI 1225510522
Nurse Practitioner - Family in Goshen, IN

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment
2120 RIETH BLVD STE C, GOSHEN, IN 46526(574) 875-6911(574) 875-6911 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 11, 2025, Sep 4, 2018 (2 updates tracked since 2018).

About Kimberlee Lynn Acton Fnp-c NPPES

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

KIMBERLEE LYNN ACTON FNP-C (NPI 1225510522) is an individual family provider in Goshen, Indiana, licensed in Indiana (71008284A) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1225510522
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLEE LYNN ACTONCredential: FNP-C
Location Address2120 RIETH BLVD STE CGoshen, IN 46526-5858
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Fax(574) 875-6911
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 4, 2018
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
NPI 1225510522 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
License Licensed in IN · 71008284A
2120 RIETH BLVD STE C, Goshen, IN 46526

Other Identifiers 1

Medicaid300018266IN

Accepted 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

Kimberlee Lynn Acton 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 ID9436409497
PECOS Enrollment IDI20180912002520
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.

Areas of Expertise CMS Part B claims 21

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
259 services166 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
176 services103 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
97 services59 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
72 services58 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
69 services57 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
62 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers14 claims36 services$5.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers36 claims36 services$189.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Family Medicine
2120 RIETH BLVD STE C
GOSHEN, IN 46526
Family Medicine
2120 RIETH BLVD STE C
GOSHEN, IN 46526
Family Medicine
2120 RIETH BLVD STE C
GOSHEN, IN 46526
Family Medicine
2120 RIETH BLVD STE C
GOSHEN, IN 46526

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 Kimberlee Acton's NPI number?

The NPI number for Kimberlee Acton is 1225510522. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Kimberlee Acton located?

Kimberlee Acton practices at 2120 Rieth Blvd Ste C, Goshen, IN 46526. The listed phone number is (574) 875-6911.

What is Kimberlee Acton's specialty?

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

Is Kimberlee Acton enrolled in Medicare?

Yes. Kimberlee Acton 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 Kimberlee Acton accept?

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

According to CMS data, Kimberlee Acton is affiliated with Elkhart General Hospital and Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Kimberlee Acton was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.