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

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: October 25, 2026.

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

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 and maintains a secondary practice location in Munster.

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
Open in Google Maps ↗

Secondary Practice Location 1

Location 1757 45th Ave, Ste. 201Munster, IN 46321-2911 · Phone (219) 934-2461 · Fax (219) 934-2478

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Lichtenfeld reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Franciscan Physician Network
56 mi
Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1366879009 (574) 254-6253

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
11161 RANDOLPH ST
CROWN POINT, IN 46307
Lake County (219) 662-9424
SELENA JOYCE ROGGEVEEN NP
Nurse Practitioner (Family)
11161 RANDOLPH ST
CROWN POINT, IN 46307
Lake County (219) 662-9424
DR. PADMAJA VENKATA SANAKA M.D.
Obstetrics & Gynecology
11161 RANDOLPH ST
CROWN POINT, IN 46307
Lake County (219) 662-9424
TANA JOY KISH FNP-C
Nurse Practitioner (Family)
11161 RANDOLPH ST
CROWN POINT, IN 46307
Lake County (219) 662-9424
DR. CATHLEEN ELLEN MOK DO
Family Medicine
11161 RANDOLPH ST
CROWN POINT, IN 46307
Lake County (219) 662-9424
LATIFA BARTI MD
Family Medicine
11161 RANDOLPH ST
CROWN POINT, IN 46307
Lake County (219) 662-9424
MARK R MCMURTREY MD
Family Medicine
11161 RANDOLPH ST
CROWN POINT, IN 46307
Lake County (219) 662-9424
MRS. LAURIE DEEB NP-C
Nurse Practitioner (Family)
11161 RANDOLPH ST
CROWN POINT, IN 46307
Lake County (219) 662-9424

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 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.

Where is Kimberly Lichtenfeld located?

Kimberly Lichtenfeld practices at 11161 Randolph St, Crown Point, IN 46307. The listed phone number is (219) 664-9424.

What is Kimberly Lichtenfeld's specialty?

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

Is Kimberly Lichtenfeld enrolled in Medicare?

Yes. Kimberly Lichtenfeld is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Lichtenfeld's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Lichtenfeld reassigns Medicare benefits to Franciscan Physician Network (Mishawaka, IN). The 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 Lichtenfeld's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Lichtenfeld accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Kimberly Lichtenfeld 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 Lichtenfeld was last updated on October 11, 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.