Individual provider Active NPI

Sharon Marie Davidson Kimes, APRN, FNP

  • Family Nurse Practitioner
  • Portage, IN
National Provider Identifier
1699248633
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008658A Issued in IN
Practice address
6212 US Highway 6 Ste 195
Portage, IN 46368-5057
Phone
(219) 513-3701
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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 71008658A IN Primary
Registered Nurse 163W00000X 28145793A IN

Addresses

Primary practice location

6212 US Highway 6 Ste 195
Portage, IN 46368-5057

Mailing address

3815 River Crossing Pkwy Ste 100
Indianapolis, IN 46240-7766
Phone (844) 735-3314

Other names 1

  • Mr. Sharon Marie Kimes Professional 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
I20190211001731 IN Practitioner - Nurse Practitioner 9931447364 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28145793AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hope-Facs L.L.C. CurrentSince Jan 11, 2019 Accepting new patients

Locations

10971 Four Seasons Pl
Ste 121
Crown Point, IN 46307

7781 E Ridge Rd
Hobart, IN 46342
Phone (219) 947-0797

7781 E Ridge Rd
Ste B
Hobart, IN 46342
Phone (219) 769-4567

Interoperability endpoints

  • Direct secure messaging: skimes20513@carelonhealth.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1699248633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 RIVER CROSSING PKWY STE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462407766",
            "telephone_number": "844-735-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6212 US HIGHWAY 6 STE 195",
            "city": "PORTAGE",
            "state": "IN",
            "postal_code": "463685057",
            "telephone_number": "219-513-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMES",
        "first_name": "SHARON",
        "middle_name": "MARIE DAVIDSON",
        "name_prefix": "Mrs.",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008658A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28145793A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "KIMES",
            "middle_name": "MARIE",
            "prefix": "MR.",
            "credential": "APRN, FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portage, IN

Sources for this page

Verify at the official NPI Registry.