Individual provider Active NPI

Kimberly Dianell Armstrong, RN, FNP

  • General Practice Registered Nurse
  • Merrillville, IN
National Provider Identifier
1053046656
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
28150365A Issued in IN
Practice address
5800 Broadway
Merrillville, IN 46410-2601
Phone
(219) 884-9180
Fax
(219) 884-9280
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28150365A IN
General Practice Registered Nurse 163WG0000X 28150365A IN Primary

Addresses

Primary practice location

5800 Broadway
Merrillville, IN 46410-2601

Mailing address

3030 W 39TH PL
Gary, IN 46408-1908
Phone (219) 776-0337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251229002708 IN Practitioner - Nurse Practitioner 1355837329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8701 Broadway
Merrillville, IN 46410-7035

8701 Broadway
Merrillville, IN 46410-7099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
28150365AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc CurrentSince Dec 1, 2025 Accepting new patients
The Methodist Hospitals, Inc CurrentSince Dec 1, 2025 Accepting new patients
The Methodist Hospitals, Inc Past Accepting new patients

Locations

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

5800 Broadway
Merrillville, IN 46410
Phone (219) 884-9180

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1053046656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W 39TH PL",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464081908",
            "telephone_number": "219-776-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464102601",
            "telephone_number": "219-884-9180",
            "fax_number": "219-884-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARMSTRONG",
        "first_name": "KIMBERLY",
        "middle_name": "DIANELL",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28150365A",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "IN",
            "license": "28150365A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.