KIMBERLY KAY DIETRICH NP
NPI 1497349666
Nurse Practitioner - Acute Care in Bremen, IN
About Kimberly Kay Dietrich Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY KAY DIETRICH NP (NPI 1497349666) is an individual acute care provider in Bremen, Indiana, licensed in Indiana (71010955A) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Of South Bend, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Kimberly Kay Dietrich Np 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 Reassignments
9Medicare enrollment records show Kimberly Dietrich reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bremen, IN 46506
- Reassigned Medicare billing, Indiana enrollment
- 87 clinicians in this Medicare group
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 71 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Indiana enrollment
- 90 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Indiana enrollment
- 29 clinicians in this Medicare group
Novi, MI 48375
- Reassigned Medicare billing, Indiana enrollment
- 14 clinicians in this Medicare group
Dearborn, MI 48126
- Reassigned Medicare billing, Michigan enrollment
- 86 clinicians in this Medicare group
Dearborn, MI 48126
- Reassigned Medicare billing, Michigan enrollment
- 86 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Indiana enrollment
- 99 clinicians in this Medicare group
Houston, TX 77070
- Reassigned Medicare billing, Indiana enrollment
- 99 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 3
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Of South Bend
Acute Care Hospitals · South Bend, INCommunity Hospital Of Bremen Inc
Critical Access Hospitals · Bremen, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BREMEN, IN 46506
BREMEN, IN 46506
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 Dietrich's NPI number?
The NPI number for Kimberly Dietrich is 1497349666. It was assigned to this individual provider in the NPPES registry on February 26, 2021.
Where is Kimberly Dietrich located?
Kimberly Dietrich practices at 417 S Whitlock St, Bremen, IN 46506. The listed phone number is (574) 546-0330.
What is Kimberly Dietrich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Kimberly Dietrich enrolled in Medicare?
Yes. Kimberly Dietrich 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 organizations bill Medicare for Kimberly Dietrich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Dietrich reassigns Medicare benefits to 9 organizations: Aims, LLC (Bremen, IN), Indiana United Psych LLC (Indianapolis, IN), Theoria Medical (Novi, MI), Complexcare Medical Group Midwest H PLLC (Novi, MI), Complexcare Medical Group Midwest M PLLC (Novi, MI) and 4 more organizations, listed in the Medicare section above. Each 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 Dietrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Dietrich accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Louisiana Healthcare Connections and 7 other insurers list Kimberly Dietrich 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 Kimberly Dietrich affiliated with any hospitals?
According to CMS data, Kimberly Dietrich is affiliated with Memorial Hospital Of South Bend and Community Hospital Of Bremen Inc.
When was this NPI record last updated?
The NPPES record for Kimberly Dietrich was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Kimberly Kay Dietrich, NP · NPI 1497349666
Acute Care physician in Bremen, Indiana. Individual provider, active in the CMS NPPES registry since February 26, 2021.
## Identity
- **NPI:** 1497349666 (Entity type: Individual)
- **Enumerated:** February 26, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 71010955A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 417 S WHITLOCK ST, Bremen, IN 46506-1626
- **Phone:** (574) 546-0330
## 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:** 9 organizations under Medicare reassignment (form CMS-855R): Aims, LLC (NPI 1376072785, Bremen, IN); Indiana United Psych LLC (NPI 1558237693, Indianapolis, IN); Theoria Medical (NPI 1609362375, Novi, MI); Complexcare Medical Group Midwest H PLLC (NPI 1457144933, Novi, MI); Complexcare Medical Group Midwest M PLLC (NPI 1528851607, Novi, MI); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497349666) · Data from the CMS NPPES public registry.