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

Kimberly Chantha Brutchen

Individual provider Nurse Practitioner · NPI 1629895198

Kimberly Chantha Brutchen is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2021, 5 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
5
Licensed in
IN
In the registry since
2024
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Practice location Address checks out

6191 N Keystone Ave
Indianapolis, IN 46220-2423
Phone: (317) 257-6746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71015772A (IN)

Record details

NPI number1629895198
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2024
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Indianapolis