KIMBERLY CHANTHA BRUTCHEN
NPI 1629895198
Nurse Practitioner in Indianapolis, IN

Q: What is Kimberly Brutchen's NPI number?

The NPI number for Kimberly Brutchen is 1629895198. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Q: What is Kimberly Brutchen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Brutchen was last updated on September 25, 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.

Active since September 25, 2024PECOS EnrolledAccepts Medicare Assignment

6191 N KEYSTONE AVE, INDIANAPOLIS, IN 46220(317) 257-6746 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Chantha Brutchen NPPES

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

KIMBERLY CHANTHA BRUTCHEN (NPI 1629895198) is an individual nurse practitioner in Indianapolis, Indiana, licensed in Indiana (71015772A) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Community Hospital East, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629895198

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBERLY CHANTHA BRUTCHEN

Location Address6191 N KEYSTONE AVEIndianapolis, IN 46220-2423

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890

Phone(317) 257-6746

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 25, 2024

NPPES CertifiedSeptember 25, 2024

✔ NPI 1629895198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71015772A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

6191 N KEYSTONE AVE, Indianapolis, IN 46220

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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

Kimberly Chantha Brutchen 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 ID7810420270

PECOS Enrollment IDI20241024001554

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.

Hospital Affiliations CMS Care Compare 2

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

Community Hospital East

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150074

Location1500 N Ritter AveIndianapolis, IN 46219 · Marion County

Emergency services Birthing friendly

Community Hospital North

Acute Care Hospitals · Indianapolis, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150169

Location7150 Clearvista DrIndianapolis, IN 46256 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46220 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.

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Other Providers at the Same Location NPPES 8

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

WALTER DANIEL HARBIN

Community Health Worker