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

Kimberly Marie Moran, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1649719154

Kimberly Marie Moran, NURSEPRACTITIONER is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Practices with Community Physicians of Indiana Inc, a 1,577-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

8402 Harcourt Rd Ste 615
Indianapolis, IN 46260-2055
Phone: (317) 806-6991
Fax: (317) 806-6990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 71007189A (IN)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 71007189A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28128529A (IN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 71007189A (IN)

Record details

NPI number1649719154
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 16, 2017
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026

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 Community Physicians Of Indiana Inc — 1577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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