Kimberly Kay Dietrich, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

71010955A Issued in IN

Practice address

417 S Whitlock St
Bremen, IN 46506-1626

Phone

(574) 546-0330

NPI assigned

Feb 26, 2021

Last updated

Dec 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Psychplus Medical Associates PLLCGroup PAC ID 2668813460, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital of Bremen Inc Hospital, Bremen, IN, CCN 151300

Merit-based Incentive Payment System (MIPS)

Final score

15.37 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

51.25

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Psychplus Medical Associates, PLLC

  • Family Medicine Physician
  • Houston, TX
  • NPI 1558118026

  IN

  Medicare reassignment Care Compare group NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  IN

  Medicare reassignment Care Compare group NPD
• Aims, LLC

  • Psychiatry Physician
  • Bremen, IN
  • NPI 1376072785
  Medicare reassignment NPD
• Complexcare Medical Group Midwest H PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1457144933

  IN

  Medicare reassignment NPD
• Complexcare Medical Group Midwest M PLLC

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1528851607

  IN

  Medicare reassignment NPD
• Psychiatry of Texas PLLC

  dba Psychplus Associates

  • Psychiatry Physician
  • Houston, TX
  • NPI 1013476027

  IN

  Medicare reassignment NPD
• Indiana United Psych LLC

  • Psychiatry Physician
  • Indianapolis, IN
  • NPI 1558237693
  Medicare reassignment
• Aims-Med, LLC

  • Internal Medicine Physician
  • Bremen, IN
  • NPI 1881211878
  NPD
• Psychplus Associates of Michigan, PLLC

  • Psychiatry Physician
  • Dearborn, MI
  • NPI 1053172866
  NPD
• Psychplus Medical Associates of Michigan, PLLC

  • Internal Medicine Physician
  • Dearborn, MI
  • NPI 1851144877
  NPD

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

• Community Hospital of Bremen, Inc

  • Critical Access Hospital
  • Bremen, IN
  • NPI 1568417004
  Care Compare affiliation

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1497349666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S WHITLOCK ST",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061626",
            "telephone_number": "574-546-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S WHITLOCK ST",
            "city": "BREMEN",
            "state": "IN",
            "postal_code": "465061626",
            "telephone_number": "574-546-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IN",
            "license": "71010955A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Hospital of Bremen, Inc
• Community Hospital of Bremen, Inc.
• Community Hospital of Bremen, Inc.
• Tami Depoy, PTA
• Diane M. Mackie & Associates, PC
• Doctors Behavioral Hospital, LLC (Doctors NeuroPsychiatric Hospital)
• Doctors Home Healthcare LLC
• Jessica Rae Ebey, NP
• Family Hearing Center, Inc.
• John Keith Frey, M.D.

• Acute Care Nurse Practitioner in Bremen, IN
• Providers in Bremen, IN by specialty
• Acute Care Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.