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MRS. KYLI ANN MCCULLOUGH-GRACIA FNP- BC, FNP-C
NPI 1467234187
Nurse Practitioner - Family in Kendallville, IN

Active since October 17, 2023PECOS EnrolledAccepts Medicare Assignment
610 N SAWYER RD, KENDALLVILLE, IN 46755(260) 347-5592 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 21, 2024, Oct 17, 2023 (2 updates tracked since 2023).

About Mrs. Kyli Ann Mccullough-gracia Fnp- Bc, Fnp-c NPPES

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

MRS. KYLI ANN MCCULLOUGH-GRACIA FNP- BC, FNP-C (NPI 1467234187) is an individual family provider in Kendallville, Indiana, licensed in Indiana (71015167A) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467234187
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KYLI ANN MCCULLOUGH-GRACIACredential: FNP- BC, FNP-C
Location Address610 N SAWYER RDKendallville, IN 46755-2566
Mailing AddressPo Box 236Lagrange, IN 46761-0236 · (260) 463-2133 · Fax (260) 463-3775
Phone(260) 347-5592
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 17, 2023
Last NPPES UpdateJune 21, 20242 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1467234187 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
Licenses✔ Licensed in IN · 71015167A✔ Licensed in OH · APRN.CNP.0034654
610 N SAWYER RD, Kendallville, IN 46755
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Other Names 1

Former Name (1)Miss Kyli Ann Mccullough Rdn, Ld, Rn

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

Mrs. Kyli Ann Mccullough-gracia Fnp- Bc, 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 ID5597209452
PECOS Enrollment IDI20240702002781, I20240909000702
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services49 patients

Hospital Affiliations CMS Care Compare 5

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Van Wert County Hospital

Acute Care Hospitals · Van Wert, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360071
Location1250 S Washington StreetVan Wert, OH 45891 · Van Wert County
Birthing friendly

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Community Hospitals And Wellness Centers

Critical Access Hospitals · Montpelier, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361327
Location909 East Snyder AvenueMontpelier, OH 43543 · Williams County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46755 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 3

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

ALISSA ANGLEMYER FNP-C
Nurse Practitioner (Family)
610 N SAWYER RD
KENDALLVILLE, IN 46755
Noble County (918) 931-0861
AMERICAN ONCOLOGY PARTNERS, P.A.
Internal Medicine (Hematology & Oncology)
610 N SAWYER RD
KENDALLVILLE, IN 46755
Noble County (260) 436-0800
DR. ABDALI S. JAN M.D.
Internal Medicine
610 N SAWYER RD
KENDALLVILLE, IN 46755
Noble County (260) 347-5592

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 Kyli Mccullough-gracia's NPI number?

The NPI number for Kyli Mccullough-gracia is 1467234187. It was assigned to this individual provider in the NPPES registry on October 17, 2023. The provider is also known as Miss Kyli Ann Mccullough Rdn, Ld, Rn.

Where is Kyli Mccullough-gracia located?

Kyli Mccullough-gracia practices at 610 N Sawyer Rd, Kendallville, IN 46755. The listed phone number is (260) 347-5592.

What is Kyli Mccullough-gracia's specialty?

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

Is Kyli Mccullough-gracia enrolled in Medicare?

Yes. Kyli Mccullough-gracia 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 Kyli Mccullough-gracia accept?

Health plans from CareSource list Kyli Mccullough-gracia 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 Kyli Mccullough-gracia affiliated with any hospitals?

According to CMS data, Kyli Mccullough-gracia is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital, Van Wert County Hospital and Community Hospitals And Wellness Centers.

When was this NPI record last updated?

The NPPES record for Kyli Mccullough-gracia was last updated on June 21, 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.