Active NPI
Kimberly Hamilton, FNP-C
- Family Nurse Practitioner
- Rensselaer, IN
National Provider Identifier
1740109933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 28271510A
- Practice address
- 118 W Drexel Pkwy
Rensselaer, IN 47978-7344 - Phone
- (219) 866-4300
- Fax
- (219) 866-7591
- NPI assigned
- Jul 13, 2026
- Last updated
- Oct 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 28271510A | IN | Primary |
Addresses
Primary practice location
118 W Drexel Pkwy
Rensselaer, IN 47978-7344
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other practice location 1
523 W Parks Dr
Rensselaer, IN 47978-3059
Phone (219) 863-4979
Other names 1
- Kimberly Mae Ewen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28271510A | IN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1740109933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 W DREXEL PKWY",
"city": "RENSSELAER",
"state": "IN",
"postal_code": "479787344",
"telephone_number": "219-866-4300",
"fax_number": "219-866-7591"
}
],
"practiceLocations": [
{
"address_1": "523 W Parks Dr",
"address_purpose": "LOCATION",
"city": "Rensselaer",
"state": "IN",
"postal_code": "479783059",
"country_code": "US",
"telephone_number": "219-863-4979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAMILTON",
"first_name": "KIMBERLY",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-13",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "28271510A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "EWEN",
"middle_name": "MAE",
"credential": "FNP-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Rensselaer, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.