Active NPI
Kimberly Bice, NP
- Family Nurse Practitioner
- Logansport, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71004652A
- Practice address
- 1201 Michigan Ave
Ste 140
Logansport, IN 46947-1530 - Phone
- (574) 753-1462
- Fax
- (574) 753-1465
- NPI assigned
- Sep 23, 2013
- Last updated
- Dec 9, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71004652A | IN | Primary |
Addresses
Primary practice location
1201 Michigan Ave
Ste 140
Logansport, IN 46947-1530
Mailing address
1201 Michigan Ave
Ste 140
Logansport, IN 46947-1530
Phone (574) 753-1462
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000837494 | Other | IN | ANTHEM PROVIDER NUMBER |
| 201196430 | Medicaid | IN | |
| 000000869195 | Other | IN | ANTHEM |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Indiana Medical College, School of Medicine of Purdue University, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Logansport Hospital Inc
Practice addresses (Care Compare)
3400 E Market St
Logansport, IN 46947-2295
Phone (574) 722-9633
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71004652A | IN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- https://arrprd.mhhcc.org/OAuth2/api/FHIR/R4/
- https://fhir-myrecord.cerner.com/r4/62ec6f7d-af4b-46d8-93b5-703ae9be8c7e/
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1942317656
-
- Ambulance
- Logansport, IN
- NPI 1154301661
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Carmel, IN
- NPI 1740630110
-
- General Acute Care Hospital
- Logansport, IN
- NPI 1356320469
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1902232945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 MICHIGAN AVE",
"address_2": "STE 140",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471530",
"telephone_number": "574-753-1462",
"fax_number": "574-753-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 MICHIGAN AVE",
"address_2": "STE 140",
"city": "LOGANSPORT",
"state": "IN",
"postal_code": "469471530",
"telephone_number": "574-753-1462",
"fax_number": "574-753-1465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BICE",
"first_name": "KIMBERLY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-23",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71004652A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000837494",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201196430",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000869195",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Logansport, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.