KIMBERLY MARIE ANDERSON
NPI 1255804613
Nurse Practitioner - Family in Valparaiso, IN
About Kimberly Marie Anderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY MARIE ANDERSON (NPI 1255804613) is an individual family provider in Valparaiso, Indiana, licensed in Indiana (71008722A) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 Marie Anderson 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kimberly Anderson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Valparaiso, IN 46383
- Reassigned Medicare billing, Indiana enrollment
- 134 clinicians in this Medicare group
St John, IN 46373
- Reassigned Medicare billing, Indiana enrollment
- 607 clinicians in this Medicare group
Zionsville, IN 46077
- Reassigned Medicare billing, Indiana enrollment
- 162 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center Inc
Acute Care Hospitals · Hobart, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46383 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VALPARAISO, IN 46383
VALPARAISO, IN 46383
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 Anderson's NPI number?
The NPI number for Kimberly Anderson is 1255804613. It was assigned to this individual provider in the NPPES registry on January 9, 2019. The provider is also known as Kimberly Somers.
Where is Kimberly Anderson located?
Kimberly Anderson practices at 3800 Saint Mary Rd Ste 102, Valparaiso, IN 46383. The listed phone number is (219) 286-3707.
What is Kimberly Anderson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Anderson enrolled in Medicare?
Yes. Kimberly Anderson 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 Anderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Anderson reassigns Medicare benefits to 3 organizations: Northshore Health Centers, Inc. (Valparaiso, IN), Community Care Network Inc (St John, IN) and Minuteclinic Diagnostics Of Indiana, LLC (Zionsville, 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 Anderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Anderson accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kimberly Anderson 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 Anderson affiliated with any hospitals?
According to CMS data, Kimberly Anderson is affiliated with St Mary Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Kimberly Anderson was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Kimberly Marie Anderson · NPI 1255804613
Family physician in Valparaiso, Indiana. Individual provider, active in the CMS NPPES registry since January 9, 2019.
## Identity
- **NPI:** 1255804613 (Entity type: Individual)
- **Enumerated:** January 9, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71008722A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 SAINT MARY RD STE 102, Valparaiso, IN 46383-3986
- **Phone:** (219) 286-3707 · **Fax:** (219) 286-3708
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Northshore Health Centers, Inc. (NPI 1750145561, Valparaiso, IN); Community Care Network Inc (NPI 1457610487, St John, IN); Minuteclinic Diagnostics Of Indiana, LLC (NPI 1932171634, Zionsville, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** January 12, 2023
- **Other identifiers:** Medicaid 300023556 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1255804613) · Data from the CMS NPPES public registry.