Individual provider Active NPI

Kimberly J Fisher, NP

  • Adult Health Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1649522269
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71004172A Issued in IN
Practice address
155 E Market St FL 7
Indianapolis, IN 46204-3294
Phone
(866) 849-0692
Fax
(888) 973-8821
NPI assigned
Oct 5, 2012
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71004172A IN Primary
Adult Health Nurse Practitioner 363LA2200X 2025034139 MO
Adult Health Nurse Practitioner 363LA2200X APRN.CNP.0042385 OH
Adult Health Nurse Practitioner 363LA2200X 226680 OK
Nurse Practitioner 363L00000X 71004172A IN
Adult Health Nurse Practitioner 363LA2200X 4051014 KY

Addresses

Primary practice location

155 E Market St FL 7
Indianapolis, IN 46204-3294

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other identifiers 1

IdentifierTypeStateIssuer
201127820MedicaidIN

Other names 1

  • Ms. Kimberly Cardoso Former name

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
I20130219000156 IN Practitioner - Nurse Practitioner 8426203639 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71004172AINMDAdult Health Nurse Practitioner
4051014KYMDAdult Health Nurse Practitioner
2025034139MOMDAdult Health Nurse Practitioner
226680OKMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh-in Physicians Group, PC Nurse Practitioner CurrentSince Feb 26, 2018 Accepting new patients
Devoted Medical Group Professional Corporation CurrentSince Jan 14, 2026 Accepting new patients
Indiana University Health Care Associates, Inc. CurrentSince May 1, 2013 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince May 1, 2013 Accepting new patients
Osh-Mi Physicians Group PC Adult Health Past Accepting new patients
Oak Street Health Physicians Group, PC Nurse Practitioner Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

2240 E 53rd St
#B1
Indianapolis, IN 46220
Phone (317) 207-9256

4200 S East St
Indianapolis, IN 46227
Phone (317) 781-1061

6401 E Washington St
Indianapolis, IN 46219
Phone (317) 662-3755

950 N Meridian St
Ste 500
Indianapolis, IN 46204
Phone (317) 962-4941

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

5926 Crawfordsville Rd
#B
Speedway, IN 46224
Phone (317) 653-2730

Interoperability endpoints

  • Direct secure messaging: kfisher730467@direct.hfhs.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1649522269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 E MARKET ST FL 7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462043294",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KIMBERLY",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-05",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71004172A",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2025034139",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "APRN.CNP.0042385",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OK",
            "license": "226680",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71004172A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "4051014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201127820",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CARDOSO",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.