Individual provider Active NPI

Kimberly A Harter, PA-C

  • Physician Assistant
  • Carmel, IN
National Provider Identifier
1225578909
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002539A Issued in IN
Practice address
581 S Rangeline Rd Ste B2
Carmel, IN 46032-2149
Phone
(317) 669-9774
NPI assigned
Mar 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2017002000 MO
Physician Assistant 363A00000X 10002539A IN Primary

Addresses

Primary practice location

581 S Rangeline Rd Ste B2
Carmel, IN 46032-2149

Mailing address

1034 Roanoke Dr
Westfield, IN 46074-8088
Phone (765) 461-7244

Other practice location 1

4141 Shore Dr
Indianapolis, IN 46254-2607
Phone (317) 329-2000

Other names 1

  • Kimberly Erickson Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kharter407137@Direct.FranciscanAlliance.org Direct
Direct Messaging Address kharter@direct.iuhealth.org Direct

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
I20180919003849 IN Practitioner - Physician Assistant 8325311913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

201 Pennsylvania Pkwy
Carmel, IN 46280-2301
Phone (317) 817-1480

4141 Shore Dr
Indianapolis, IN 46254-2607
Phone (888) 484-3258

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002539AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endurance Mental Health, LLC CurrentSince Mar 12, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Dec 1, 2024 Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

581 S Rangeline Rd
Ste B2B
Carmel, IN 46032
Phone (317) 669-9774

4141 Shore Dr
Indianapolis, IN 46254
Phone (317) 329-2000

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

Interoperability endpoints

  • Direct secure messaging: kharter@direct.iuhealth.org

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.

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": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1225578909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 ROANOKE DR",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460748088",
            "telephone_number": "765-461-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 S RANGELINE RD STE B2",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460322149",
            "telephone_number": "317-669-9774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462542607",
            "country_code": "US",
            "telephone_number": "317-329-2000",
            "fax_number": "317-329-2531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTER",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2017002000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002539A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kharter407137@Direct.FranciscanAlliance.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5230 E Stop 11 Rd Ste 300",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462376401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kharter@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4141 Shore Dr",
            "city": "Indianapolis",
            "state": "IN",
            "country_code": "US",
            "postal_code": "462542607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ERICKSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

Verify at the official NPI Registry.