Active NPI
Kimberly Rogers, N.P.
- Adult Health Nurse Practitioner
- Kokomo, IN
National Provider Identifier
1902192776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 71003703A
- Practice address
- 317 S Berkley Rd
Kokomo, IN 46901-5114 - Phone
- (765) 236-8800
- Fax
- (765) 588-1004
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28150957A | IN | |
| Adult Health Nurse Practitioner | 363LA2200X | 71003703A | IN | Primary |
Addresses
Primary practice location
317 S Berkley Rd
Kokomo, IN 46901-5114
Mailing address
7382 E County Road 300 S
Frankfort, IN 46041-9205
Phone (765) 490-1547
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201034790 | Medicaid | IN | |
| 000000731417 | Other | IN | ANTHEM PROVIDER NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28150957A | IN | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients |
Locations
8016 Reliable Pkwy
Chicago, IL 60686
1 Walter Scholer Dr
Lafayette, IN 47909
2600 Greenbush St
Lafayette, IN 47904
Interoperability endpoints
- kimberly.rogers.1@7598.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1902192776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7382 E COUNTY ROAD 300 S",
"city": "FRANKFORT",
"state": "IN",
"postal_code": "460419205",
"telephone_number": "765-490-1547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 S BERKLEY RD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469015114",
"telephone_number": "765-236-8800",
"fax_number": "765-588-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "KIMBERLY",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IN",
"license": "28150957A",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IN",
"license": "71003703A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201034790",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000731417",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.