1. Home
  2. Directory
  3. Indiana
  4. Polis
  5. Nurse Practitioner
  6. NPI Profile

KIMBERLY SUE STULL NP
NPI 1649613159
Nurse Practitioner - Pediatrics, Critical Care in Indianapolis, IN

Active since April 15, 2013PECOS Enrolled
705 N RILEY AVE, INDIANAPOLIS, IN 46201(317) 944-0233 Get Directions Write a Review

NPPES record last updated: November 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly Sue Stull Np NPPES

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

KIMBERLY SUE STULL NP (NPI 1649613159) is an individual pediatrics, critical care provider in Indianapolis, Indiana, licensed in Indiana (28137802A) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649613159
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameKIMBERLY SUE STULLCredential: NP
Location Address705 N RILEY AVEIndianapolis, IN 46201-2923
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Phone(317) 944-0233
Sole ProprietorNo
Enumeration DateApril 15, 2013
Last NPPES UpdateNovember 18, 2020
NPPES CertifiedNovember 18, 2020
✔ NPI 1649613159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in IN · 28137802A
705 N RILEY AVE, Indianapolis, IN 46201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Sue Stull Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Stull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Iu Health Medical Group, LLC
4.2 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46201 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.

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 Stull's NPI number?

The NPI number for Kimberly Stull is 1649613159. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Kimberly Stull located?

Kimberly Stull practices at 705 N Riley Ave, Indianapolis, IN 46201. The listed phone number is (317) 944-0233.

What is Kimberly Stull's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Kimberly Stull enrolled in Medicare?

Yes. Kimberly Stull is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Stull's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stull reassigns Medicare benefits to Iu Health Medical Group, LLC (Indianapolis, 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 Kimberly Stull's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Stull accept?

Health plans from CareSource and Cigna Healthcare list Kimberly Stull 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 Stull was last updated on November 18, 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.