NPIMap

Organization Active NPI

Karefirst Indiana PC

  • Nurse Practitioner
  • South Bend, IN
National Provider Identifier
1639545882
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
KAREFIRST INDIANA PC
Practice address
20531 Darden Rd
South Bend, IN 46637-2915
Phone
(847) 235-6130
Fax
(847) 235-6135
NPI assigned
Aug 11, 2015
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Kimberly Wilson, RN, APN, MSNNPI 1538451141
Title
President
Phone
(773) 552-1243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

20531 Darden Rd
South Bend, IN 46637-2915

Mailing address

6348 N Milwaukee Ave Ste 390
Chicago, IL 60646-3728
Phone (847) 235-6130

Other names 1

  • KareFirst Indiana, P.C. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160205002355 IN Part B Supplier - Clinic/Group Practice 4587968862 Receives reassigned benefits from 16 practitioners
Practice locations: Vincennes, IN; Covington, IN; South Bend, IN; Scottsburg, IN; Rising Sun, IN; New Castle, IN; Muncie, IN; Mishawaka, IN…

National Provider Directory

National Provider Directory

Locations

1585 Perry Worth Rd
Lebanon, IN 46052
Phone (756) 482-6391

405 Rio Vista Ln
Rising Sun, IN 47040
Phone (812) 438-2219

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1639545882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6348 N MILWAUKEE AVE STE 390",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463728",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20531 DARDEN RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466372915",
            "telephone_number": "847-235-6130",
            "fax_number": "847-235-6135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREFIRST INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-552-1243",
        "authorized_official_credential": "RN, APN, MSN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KareFirst Indiana, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.