Kimberly Ewen, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Rensselaer, IN
NPI 1740109933 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1740109933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 28271510A (IN)
- Practice address
- 523 W Parks Dr
Rensselaer, IN 47978-3059 - Phone
- (219) 863-4979
- NPI assigned
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | 28271510A | IN | Yes |
Addresses
Primary practice location
523 W Parks Dr
Rensselaer, IN 47978-3059
Mailing address
523 W Parks Dr
Rensselaer, IN 47978-3059
Other providers in Rensselaer, IN
- Dr Stephen L Jennings PC
- Debra L Drescher
- Mary Jo Elkins
- Tyler E Emley
- Mary Kathleen Estepp
- Fairmeadows Home Health Center, Inc.
- Kristen Conway Fakes
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
- Franciscan Health Rensselaer, Inc.
All providers in Rensselaer, IN · Family Nurse Practitioner in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.