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KIMBERLY ANNE MCGILLICUDDY PMH-NP
NPI 1255840401
Nurse Practitioner - Psychiatric/Mental Health in Shelbyville, IN

Active since September 20, 2017PECOS EnrolledAccepts Medicare Assignment
2451 INTELLIPLEX DR SUITE 260, SHELBYVILLE, IN 46176(317) 398-0121 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Feb 16, 2022, Sep 20, 2017 (3 updates tracked since 2017).

About Kimberly Anne Mcgillicuddy Pmh-np NPPES

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

KIMBERLY ANNE MCGILLICUDDY PMH-NP (NPI 1255840401) is an individual psychiatric/mental health provider in Shelbyville, Indiana, licensed in Indiana (71007536A) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Major Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255840401
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY ANNE MCGILLICUDDYCredential: PMH-NP
Location Address2451 INTELLIPLEX DR SUITE 260Shelbyville, IN 46176-8580
Mailing Address30 W Rampart St Suite 200Shelbyville, IN 46176-8846 · (317) 421-2012 · Fax (317) 398-1851
Phone(317) 398-0121
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2022
✔ NPI 1255840401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IN · 71007536A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28199185A (IN)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 71007536A (IN)
2451 INTELLIPLEX DR SUITE 260, Shelbyville, IN 46176
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Other Names 1

Former Name (1)Kimberly Anne Heyse

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 Anne Mcgillicuddy Pmh-np 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 ID1254607336
PECOS Enrollment IDI20171017001726
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

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

Major Hospital

Acute Care Hospitals · Shelbyville, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150097
Location2451 Intelliplex DrShelbyville, IN 46176 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46176 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 Mcgillicuddy's NPI number?

The NPI number for Kimberly Mcgillicuddy is 1255840401. It was assigned to this individual provider in the NPPES registry on September 20, 2017. The provider is also known as Kimberly Anne Heyse.

Where is Kimberly Mcgillicuddy located?

Kimberly Mcgillicuddy practices at 2451 Intelliplex Dr Suite 260, Shelbyville, IN 46176. The listed phone number is (317) 398-0121.

What is Kimberly Mcgillicuddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Mcgillicuddy enrolled in Medicare?

Yes. Kimberly Mcgillicuddy 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 Mcgillicuddy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Kimberly Mcgillicuddy 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 Mcgillicuddy affiliated with any hospitals?

According to CMS data, Kimberly Mcgillicuddy is affiliated with Major Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Mcgillicuddy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.