KIMBERLY LICHTENFELD NP
NPI 1336572742
Nurse Practitioner - Pediatrics in Crown Point, IN

Q: What is Kimberly Lichtenfeld's NPI number?

The NPI number for Kimberly Lichtenfeld is 1336572742. It was assigned to this individual provider in the NPPES registry on August 21, 2013.

Q: What is Kimberly Lichtenfeld's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since August 21, 2013PECOS Enrolled

11161 RANDOLPH ST, CROWN POINT, IN 46307(219) 664-9424(219) 662-7465 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2023, May 24, 2021, Apr 9, 2021 and 1 more (4 updates tracked since 2021).

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About Kimberly Lichtenfeld Np NPPES

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

KIMBERLY LICHTENFELD NP (NPI 1336572742) is an individual pediatrics provider in Crown Point, Indiana, licensed in Indiana (71004567A) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336572742

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKIMBERLY LICHTENFELDCredential: NP

Location Address11161 RANDOLPH STCrown Point, IN 46307-8564

Mailing AddressPo Box 781076Detroit, MI 48278-2892 · (317) 528-4800

Phone(219) 664-9424

Fax(219) 662-7465

Sole ProprietorNo

Enumeration DateAugust 21, 2013

Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration

NPPES CertifiedOctober 11, 2023

✔ NPI 1336572742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in IN · 71004567A

11161 RANDOLPH ST, Crown Point, IN 46307

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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 (PECOS)

Kimberly Lichtenfeld Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46307 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 14

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

DR. MELANIE CAROL HARRIS M.D.

Pediatrics