Individual provider Active NPI

Kimberlee Annette Sickels, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Clarksville, IN
National Provider Identifier
1174556468
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71000724A Issued in IN
Practice address
1020 Veterans Pkwy Ste 700
Clarksville, IN 47129-2390
Phone
(812) 668-8144
Fax
(877) 772-5243
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71000724A IN Primary
Adult Health Nurse Practitioner 363LA2200X 4488P KY

Addresses

Primary practice location

1020 Veterans Pkwy Ste 700
Clarksville, IN 47129-2390

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Other practice location 1

3103 Heritage Heights Way
Jeffersonville, IN 47130-8934
Phone (502) 939-9754

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberlee.sickels.1@29601.direct.athenahealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040412000735 IN Practitioner - Nurse Practitioner 4385638592 Reassigns benefits to 3 organizations
I20050512000142 KY Practitioner - Nurse Practitioner 4385638592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1020 Veterans Pkwy
Suite 700
Clarksville, IN 47129-2390
Phone (812) 668-8144

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71000724AINMDAdult Health Nurse Practitioner
4488PKYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care Ky PSC CurrentSince Sep 1, 2023 Accepting new patients
Centerwell Senior Primary Care (Ky) PSC CurrentSince Sep 1, 2023 Accepting new patients
Centerwell Senior Primary Care in PC CurrentSince Jun 5, 2023 Accepting new patients
Centerwell Senior Primary Care in PC CurrentSince Jun 5, 2023 Accepting new patients
Centerwell Senior Primary Care in PC Current Accepting new patients
Centerwell Senior Primary Care Ky PSC Current Accepting new patients
Centerwell Senior Primary Care in PC Past Accepting new patients
Tabler Clinical Services, PSC PastSince Jun 1, 1992 Accepting new patients
Vohra Wound Physicians of the West, P.C. Past Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

1020 Veterans Pkwy
Ste 700
Clarksville, IN 47129
Phone (812) 668-8144

1020 Veterans Pkwy
Clarksville, IN 47129

305 New Albany Plz
New Albany, IN 47150
Phone (812) 668-8133

3151 S 2nd St
Louisville, KY 40208
Phone (502) 632-9313

4521 Outer Loop
Louisville, KY 40219
Phone (502) 653-5206

Interoperability endpoints

  • Direct secure messaging: kimberlee.sickels.1@29601.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1174556468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 VETERANS PKWY STE 700",
            "city": "CLARKSVILLE",
            "state": "IN",
            "postal_code": "471292390",
            "telephone_number": "812-668-8144",
            "fax_number": "877-772-5243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3103 Heritage Heights Way",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471308934",
            "country_code": "US",
            "telephone_number": "502-939-9754",
            "fax_number": "812-284-6550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SICKELS",
        "first_name": "KIMBERLEE",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71000724A",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "4488P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberlee.sickels.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1020 Veterans Pkwy Ste 700",
            "city": "Clarksville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471292390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clarksville, IN

Sources for this page

Verify at the official NPI Registry.