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

Kimberly Marie Anderson

Individual provider Family Nurse Practitioner · NPI 1255804613

Kimberly Marie Anderson is a Nurse Practitioner in Valparaiso, Indiana. Qualified in 2018, 8 years ago. Practices with Community Care Network Inc, a 374-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
8
Licensed in
IL, IN
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3800 Saint Mary Rd Ste 102
Valparaiso, IN 46383-3986
Phone: (219) 286-3707
Fax: (219) 286-3708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71008722A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.019967 (IL)

Record details

NPI number1255804613
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 9, 2019
Last updated in NPPESJanuary 12, 2023
Certification dateJanuary 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Care Network Inc — 374 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Valparaiso