Individual provider Active NPI

Kimberly A Kick, M.D.

  • Family Medicine Physician
  • Batesville, IN
National Provider Identifier
1992716377
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01047923A Issued in IN
Practice address
26 Six Pine Ranch Rd
Batesville, IN 47006
Phone
(812) 934-5252
Fax
(812) 932-0721
NPI assigned
Aug 10, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01047923A IN Primary

Addresses

Primary practice location

26 Six Pine Ranch Rd
Batesville, IN 47006

Mailing address

PO Box 236
Batesville, IN 47006-0236
Phone (812) 933-5441

Other identifiers 2

IdentifierTypeStateIssuer
200155420AMedicaidIN
000000094433OtherINANTHEM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KIMBERLY.KICK@mmhealth.cernerdirect.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040512001211 IN Practitioner - Family Practice 9032109160 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

26 Six Pine Ranch Rd
Batesville, IN 47006-1399
Phone (812) 934-5252

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01047923AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Mary Community Hospital, Inc CurrentSince May 11, 2018 Accepting new patients
Margaret Mary Community Hospital, Inc Family Medicine CurrentSince May 11, 2018 Accepting new patients
Margaret Mary Community Hospital Inc Current Accepting new patients
Major Hospital Past Accepting new patients
Jeffrey a. Hatcher, MD, PC Past Accepting new patients

Locations

24 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 376-3100

256 State Road 129 S
Batesville, IN 47006
Phone (812) 932-4700

26 Six Pine Ranch Rd
Batesville, IN 47006
Phone (812) 934-5252

321 Mitchell Ave
Batesville, IN 47006
Phone (812) 933-5018

Interoperability endpoints

  • Direct secure messaging: kimberly.kick@mmhealth.cernerdirect.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1992716377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 236",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470060236",
            "telephone_number": "812-933-5441",
            "fax_number": "812-933-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SIX PINE RANCH RD",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "47006",
            "telephone_number": "812-934-5252",
            "fax_number": "812-932-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KICK",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01047923A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200155420A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000094433",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KIMBERLY.KICK@mmhealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "26 Six Pine Ranch Rd",
            "city": "Batesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "47006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batesville, IN

Sources for this page

Verify at the official NPI Registry.