Kimberley Ann Gull, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Alexandria, IN
NPI 1023975356 · NPPES record last updated Jan 8, 2026
Key facts
- NPI
- 1023975356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 28131264A (IN)
- Practice address
- 714 N Harrison St
Alexandria, IN 46001-1410 - Phone
- (765) 621-8384
- NPI assigned
- Jan 8, 2026
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grant-Blackford Mental Health, Inc.
Practice addresses (Care Compare)
3010 S Adams St
Marion, IN 46953-4026
Phone (765) 733-0342
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260420000916 | IN | Practitioner - Nurse Practitioner | 4789169228 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28131264A | IN | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 28131264A | IN | Yes |
Addresses
Primary practice location
714 N Harrison St
Alexandria, IN 46001-1410
Mailing address
714 N Harrison St
Alexandria, IN 46001-1410
Phone (765) 621-8384
Other providers in Alexandria, IN
- Amanda Renee Ellingwood
- Yochana R Gavva
- Drew Joseph Gleitsmann
- Rhonda A Goforth
- Alampartap Grewal
- David E Haag
- Bethany Sue Harlan
- Heaven Sent Home Health Care, LLC
- Hook-Superx LLC
- J Chester Long II
All providers in Alexandria, IN · Psychiatric/Mental Health Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.