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KIMBERLY KAYE PFLUGHAUPT FNP
NPI 1447357199
Nurse Practitioner - Family in Michigan City, IN

Active since September 17, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
3777 N FRONTAGE RD STE 500, MICHIGAN CITY, IN 46360(219) 809-2889(219) 878-0711 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, Sep 14, 2020, Aug 12, 2020 and 1 more (4 updates tracked since 2018).

About Kimberly Kaye Pflughaupt Fnp NPPES

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

KIMBERLY KAYE PFLUGHAUPT FNP (NPI 1447357199) is an individual family provider in Michigan City, Indiana, licensed in Indiana (71002221) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1447357199
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY KAYE PFLUGHAUPTCredential: FNP
Location Address3777 N FRONTAGE RD STE 500Michigan City, IN 46360-7697
Mailing Address401 Newporte BlvdLa Porte, IN 46350-2479 · (219) 575-6244 · Fax (219) 380-0757
Phone(219) 809-2889
Fax(219) 878-0711
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateSeptember 17, 2006
Last NPPES UpdateSeptember 24, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2020
✔ NPI 1447357199 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 · 71002221
3777 N FRONTAGE RD STE 500, Michigan City, IN 46360
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1809 LaPorte Ave Ste BValparaiso, IN 46383-5801 · Phone (219) 263-4977 · Fax (219) 263-4979
Location 2650 Dickinson RdChesterton, IN 46304-3387 · Phone (219) 926-7755 · Fax (219) 929-1885
Location 33630 Willowcreek RdPortage, IN 46368-5075 · Phone (219) 364-3900 · Fax (219) 364-3959
Location 4401 NewPorte BlvdLa Porte, IN 46350-2479 · Phone (219) 575-6244 · Fax (219) 380-0757

Other Identifiers 2

Medicaid200840440IN
Other000000513063IN · Anthem, Bcbs

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

Kimberly Kaye Pflughaupt Fnp 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 ID5991800526
PECOS Enrollment IDI20070410000460
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 8

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
46 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
43 services42 patients
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.
36 services33 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
33 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46360 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

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 Pflughaupt's NPI number?

The NPI number for Kimberly Pflughaupt is 1447357199. It was assigned to this individual provider in the NPPES registry on September 17, 2006.

Where is Kimberly Pflughaupt located?

Kimberly Pflughaupt practices at 3777 N Frontage Rd Ste 500, Michigan City, IN 46360. The listed phone number is (219) 809-2889.

What is Kimberly Pflughaupt's specialty?

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

Is Kimberly Pflughaupt enrolled in Medicare?

Yes. Kimberly Pflughaupt 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 Pflughaupt accept?

Health plans from CareSource list Kimberly Pflughaupt 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 Pflughaupt was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.