NPIMap

Individual provider Active NPI

Kimberly K. Oppman

  • Family Nurse Practitioner
  • Highland, IN
National Provider Identifier
1265507487
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001536A Issued in IN
Practice address
9143 Indianapolis Blvd
Suite 100
Highland, IN 46322-2500
Phone
(219) 972-1547
Fax
(219) 972-1641
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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 209006314 IL
Family Nurse Practitioner 363LF0000X 71001536A IN Primary

Addresses

Primary practice location

9143 Indianapolis Blvd
Suite 100
Highland, IN 46322-2500

Mailing address

9143 Indianapolis Blvd
Highland, IN 46322-2500
Phone (219) 972-1547

Other identifiers 2

IdentifierTypeStateIssuer
201083410MedicaidIN
000000802045OtherINANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000648 IN Practitioner - Nurse Practitioner 2365441433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Specialists PCGroup PAC ID 4981691862, 12 clinicians

Practice addresses (Care Compare)

2701 Leonard Dr
Suite B
Valparaiso, IN 46383-7121
Phone (219) 972-1547

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Pinnacle Hospital Hospital, Crown Point, IN, CCN 150166
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as group
Quality
70.56
Improvement activities
40
Cost
72.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71001536AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Specialists PC CurrentSince Feb 4, 2013 Accepting new patients
Franciscan Hammond Clinic LLC Past Accepting new patients
Sullivan Urgent Aid Centers, LTD Past Accepting new patients

Locations

9143 Indianapolis Blvd
Highland, IN 46322
Phone (219) 972-1547

9143 Indianapolis Blvd
Ste 100
Highland, IN 46322
Phone (219) 972-1547

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

2701 Leonard Dr
#A
Valparaiso, IN 46383
Phone (219) 464-9800

2701 Leonard Dr
#B
Valparaiso, IN 46383
Phone (219) 464-9800

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 7

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1265507487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9143 INDIANAPOLIS BLVD",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222500",
            "telephone_number": "219-972-1547",
            "fax_number": "219-972-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9143 INDIANAPOLIS BLVD",
            "address_2": "SUITE 100",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222500",
            "telephone_number": "219-972-1547",
            "fax_number": "219-972-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPMAN",
        "first_name": "KIMBERLY",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209006314",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001536A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201083410",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000802045",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.