Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Anne McGillicuddy, PMH-NP

Individual provider Nurse Practitioner · NPI 1255840401

Kimberly Anne McGillicuddy, PMH-NP is a Nurse Practitioner in Shelbyville, Indiana. Qualified in 2017, 9 years ago. Practices with Major Hospital, a 100-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
3
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Practice location Address checks out

2451 Intelliplex Dr Ste 260
Shelbyville, IN 46176-8580
Phone: (317) 398-0121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9670 E Washington St Ste 120, Indianapolis, IN 46229-3051 — (317) 890-5700

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71007536A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 71007536A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28199185A (IN)

Record details

NPI number1255840401
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMH-NP
Sole proprietorNo
NPI enumeratedSeptember 20, 2017
Last updated in NPPESJuly 21, 2022
Certification dateFebruary 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Major Hospital — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Shelbyville