KIMBERLY CARLTON NP
NPI 1831560473
Nurse Practitioner - Family in Richmond, IN

Active since October 08, 2015PECOS EnrolledAccepts Medicare Assignment
1100 REID PKWY, EMERGENCY DEPARTMENT, RICHMOND, IN 47374(765) 983-3144(765) 983-3038 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2021, Nov 9, 2020, Mar 20, 2019 and 2 more (5 updates tracked since 2017).

About Kimberly Carlton Np NPPES

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

KIMBERLY CARLTON NP (NPI 1831560473) is an individual family provider in Richmond, Indiana, licensed in Indiana (71005823A) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Reid Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1831560473
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY CARLTONCredential: NP
Location Address1100 REID PKWY, EMERGENCY DEPARTMENTRichmond, IN 47374-1157
Mailing Address1100 Reid Pkwy, Medical Staff ServicesRichmond, IN 47374-1157 · (765) 983-3127 · Fax (765) 983-3038
Fax(765) 983-3038
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 8, 2015
Last NPPES UpdateMay 12, 20215 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
NPI 1831560473 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 · 71005823A
1100 REID PKWY, Richmond, IN 47374

Other Identifiers 3

Other000001235644IN · Anthem
Medicaid0148559OH
Medicaid201335640IN

Accepted 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 Carlton 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.

PECOS PAC ID9335449636
PECOS Enrollment IDI20151118000469
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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
159 services156 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
71 services71 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
58 services57 patients

Hospital Affiliations CMS Care Compare

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

Reid Health

Acute Care Hospitals · Richmond, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150048
Location1100 Reid PkwyRichmond, IN 47374 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47374 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 20

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

Internal Medicine
1100 REID PKWY
RICHMOND, IN 47374
Student in an Organized Health Care Education/Training Program
1100 REID PKWY
RICHMOND, IN 47374
Internal Medicine (Cardiovascular Disease)
1100 REID PKWY, SUITE 210
RICHMOND, IN 47374
Radiology (Diagnostic Radiology)
1100 REID PKWY
RICHMOND, IN 47374
Student in an Organized Health Care Education/Training Program
1100 REID PKWY
RICHMOND, IN 47374
Radiology (Diagnostic Radiology)
1100 REID PKWY
RICHMOND, IN 47374
Family Medicine
1100 REID PKWY
RICHMOND, IN 47374
Specialist/Technologist (Athletic Trainer)
1100 REID PKWY
RICHMOND, IN 47374

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 Carlton's NPI number?

The NPI number for Kimberly Carlton is 1831560473. It was assigned to this individual provider in the NPPES registry on October 8, 2015.

Where is Kimberly Carlton located?

Kimberly Carlton practices at 1100 Reid Pkwy Emergency Department, Richmond, IN 47374. The listed phone number is (765) 983-3144.

What is Kimberly Carlton's specialty?

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

Is Kimberly Carlton enrolled in Medicare?

Yes. Kimberly Carlton 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.

What insurance does Kimberly Carlton accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kimberly Carlton 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 Carlton affiliated with any hospitals?

According to CMS data, Kimberly Carlton is affiliated with Reid Health.

When was this NPI record last updated?

The NPPES record for Kimberly Carlton was last updated on May 12, 2021. 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.