Kimberly Sue Baney, FNP-C

Individual provider Active NPI Nurse Practitioner · Mentone, IN

NPI 1083415053 · NPPES record last updated Mar 24, 2025

Key facts

NPI
1083415053
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
28173352A (IN)
Practice address
3440 S Tinkey Rd
Mentone, IN 46539-9288
Phone
(574) 253-5809
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chestnut Health of Indiana PC (7 clinicians)
RP Care LLC (31 clinicians)

Practice addresses (Care Compare)

3518 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 453-4667

6326 Constitution Dr
Fort Wayne, IN 46804-1518
Phone (260) 515-3275

Hospital & facility affiliations

  • Memorial Hospital Hospital · Logansport, IN · CCN 150072

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 IDStateProvider typePAC IDDetails
I20250627003332 IN Practitioner - Nurse Practitioner 0941713440 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RP Care LLC Current
since Jul 28, 2025
Accepting new patients
Chestnut Health of Indiana PC Current
since Jun 9, 2025
Accepting new patients

Locations

1530 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (224) 760-7322

6326 Constitution Dr
Fort Wayne, IN 46804
Phone (260) 515-3275

700 E 21st Ave
Gary, IN 46407
Phone (219) 882-2563

353 Tyler St
Gary, IN 46402
Phone (219) 886-7070

2901 W 37th Ave
Hobart, IN 46342
Phone (219) 942-2170

2002 W 86th St
Indianapolis, IN 46260
Phone (317) 872-8811

3518 S Lafountain St
Kokomo, IN 46902
Phone (765) 453-0358

614 W 14th St
Marion, IN 46953
Phone (260) 999-6924

1850 W Matador St
Peru, IN 46970
Phone (765) 689-5000

340 E 18th St
Rochester, IN 46975
Phone (574) 223-5100

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28173352A IN Yes

Addresses

Primary practice location

3440 S Tinkey Rd
Mentone, IN 46539-9288

Mailing address

3440 S Tinkey Rd
Mentone, IN 46539-9288
Phone (574) 253-5809

Other providers in Mentone, IN

All providers in Mentone, IN · Nurse Practitioner in Indiana

Sources for this page

Verify at the official NPI Registry.