Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBERLY EWEN FNP-C
NPI 1740109933
Nurse Practitioner - Family in Rensselaer, IN

Q: What is Kimberly Ewen's NPI number?

The NPI number for Kimberly Ewen is 1740109933. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Q: What is Kimberly Ewen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Ewen was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days 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 July 13, 2026PECOS Enrolled

118 W DREXEL PKWY, RENSSELAER, IN 47978(219) 866-4300(219) 866-7591 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, Jul 13, 2026 (2 updates tracked since 2026).

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About Kimberly Ewen Fnp-c NPPES

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

KIMBERLY EWEN FNP-C (NPI 1740109933) is an individual family provider in Rensselaer, Indiana, licensed in Indiana (28271510A) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rensselaer.

NPPES Registry Identity

NPI1740109933

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY EWENCredential: FNP-C

Location Address118 W DREXEL PKWYRensselaer, IN 47978-7344

Mailing AddressPo Box 781076Detroit, MI 48278-1076 · (317) 528-4800 · Fax (317) 865-1479

Phone(219) 866-4300

Fax(219) 866-7591

Sole ProprietorYes

Enumeration DateJuly 13, 2026

Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1740109933 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

License✔ Licensed in IN · 28271510A

118 W DREXEL PKWY, Rensselaer, IN 47978

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Secondary Practice Location 1

Location 1523 W Parks DrRensselaer, IN 47978-3059 · Phone (219) 863-4979

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Ewen Fnp-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47978 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 6

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

DR. CHRISTOPHER MICHAEL LOUCK M.D.

Family Medicine