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KIMBERLY MARIE ANDERSON
NPI 1255804613
Nurse Practitioner - Family in Valparaiso, IN

Active since January 09, 2019PECOS Enrolled
3800 SAINT MARY RD STE 102, VALPARAISO, IN 46383(219) 286-3707(219) 286-3708 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2023, Nov 1, 2021, Apr 14, 2020 and 4 more (7 updates tracked since 2019).

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.

NPPES Registry Identity

NPI1255804613
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY MARIE ANDERSON
Location Address3800 SAINT MARY RD STE 102Valparaiso, IN 46383-3986
Mailing Address8558 BroadwayMerrillville, IN 46410-7032 · (219) 392-7084 · Fax (219) 703-6854
Phone(219) 286-3707
Fax(219) 286-3708
Sole ProprietorNo
Enumeration DateJanuary 9, 2019
Last NPPES UpdateJanuary 12, 20237 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1255804613 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 · 71008722A✔ Licensed in IL · 209.019967
3800 SAINT MARY RD STE 102, Valparaiso, IN 46383
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Other Names 1

Former Name (1)Kimberly Somers

Other Identifiers 1

Medicaid300023556IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Marie Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.
20 services20 patients

Physician 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.

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.

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.

KRISTIN STOK FNP
Nurse Practitioner (Family)
3800 SAINT MARY RD STE 102
VALPARAISO, IN 46383
Porter County (219) 286-3707
REAGAN COLETTE MILLER FNP-C
Nurse Practitioner (Family)
3800 SAINT MARY RD STE 102
VALPARAISO, IN 46383
Porter County (219) 286-3707
UMPARRYS LYNNE' WITHERSPOON DNP, RN, FNP-BC
Nurse Practitioner (Family)
3800 SAINT MARY RD STE 102
VALPARAISO, IN 46383
Porter County (219) 286-3707

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 enrollment system.

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.

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.