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
Hospital & facility affiliations 1
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
RP Care LLC
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
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 |
|---|---|---|---|---|
| I20250627003332 | IN | Practitioner - Nurse Practitioner | 0941713440 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RP Care LLC | Current |
Accepting new patients | |
| Chestnut Health of Indiana PC | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Crista E Barker
- Mary M Brauer
- Come As You Are Counseling, LLC
- Chris C Doran
- Four- Way Ambulance Emergency Service Inc
All providers in Mentone, IN · 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 Mar 24, 2025. 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.