MRS. KYLI ANN MCCULLOUGH-GRACIA FNP- BC, FNP-C
NPI 1467234187
Nurse Practitioner - Family in Kendallville, IN
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Kyli Mccullough-gracia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lagrange, IN 46761
- Reassigned Medicare billing, Indiana and Ohio enrollments
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 4
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, INVan Wert County Hospital
Acute Care Hospitals · Van Wert, OHCommunity Hospitals And Wellness Centers
Acute Care Hospitals · Bryan, OHCommunity Hospitals And Wellness Centers
Critical Access Hospitals · Montpelier, OHPhysician 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.
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.
KENDALLVILLE, IN 46755
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.
Which organization bills Medicare for Kyli Mccullough-gracia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyli Mccullough-gracia reassigns Medicare benefits to Northeast Internal Medicine Associates, PC (Lagrange, 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 Kyli Mccullough-gracia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyli Mccullough-gracia accept?
Health plans from Anthem Blue Cross and Blue Shield 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, 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.
# Mrs. Kyli Ann Mccullough-Gracia, FNP- BC, FNP-C · NPI 1467234187
Family physician in Kendallville, Indiana. Individual provider, active in the CMS NPPES registry since October 17, 2023.
## Identity
- **NPI:** 1467234187 (Entity type: Individual)
- **Enumerated:** October 17, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71015167A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 610 N SAWYER RD, Kendallville, IN 46755-2566
- **Phone:** (260) 347-5592
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Northeast Internal Medicine Associates, PC (NPI 1174518500, Lagrange, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** June 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467234187) · Data from the CMS NPPES public registry.