CALEB JAMES PEMBERTON FNP-C
NPI 1346012606
Nurse Practitioner - Family in Kokomo, IN

Q: What is Caleb Pemberton's NPI number?

The NPI number for Caleb Pemberton is 1346012606. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Q: What is Caleb Pemberton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Caleb Pemberton was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 30, 2023PECOS EnrolledAccepts Medicare Assignment

2340 W SYCAMORE ST, KOKOMO, IN 46901(765) 437-9394 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2024, Jun 18, 2024, Jun 8, 2024 and 1 more (4 updates tracked since 2023).

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About Caleb James Pemberton Fnp-c NPPES

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

CALEB JAMES PEMBERTON FNP-C (NPI 1346012606) is an individual family provider in Kokomo, Indiana, licensed in Indiana (71015354A) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (2023).

NPPES Registry Identity

NPI1346012606

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCALEB JAMES PEMBERTONCredential: FNP-C

Location Address2340 W SYCAMORE STKokomo, IN 46901-4108

Mailing Address210 E Adams StTipton, IN 46072-2004 · (765) 437-9394

Phone(765) 437-9394

Sole ProprietorYes

Medical School CMSIndiana University School Of MedicineGraduated 2023

Enumeration DateOctober 30, 2023

Last NPPES UpdateJuly 3, 20244 updates tracked since enumeration

NPPES CertifiedJuly 3, 2024

✔ NPI 1346012606 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

License✔ Licensed in IN · 71015354A

2340 W SYCAMORE ST, Kokomo, IN 46901

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Caleb James Pemberton Fnp-c 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 ID6204373368

PECOS Enrollment IDI20240807000359

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 4

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.

33 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

24 services24 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

18 services18 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46901 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. EMILY BEAVER PHARMD

Pharmacist