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

Mrs. Kimberly Moore

Individual provider Family Nurse Practitioner · NPI 1699231530

Mrs. Kimberly Moore is a Nurse Practitioner in Fishers, Indiana. Qualified in 2018, 8 years ago. Practices with Ivx Health of Indiana, PC, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana.

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

11591 Olio Rd
Fishers, IN 46037-7613
Phone: (317) 585-2702
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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 28195145A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71008947A (IN)

Record details

NPI number1699231530
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2019
Last updated in NPPESApril 1, 2021
Certification dateFebruary 27, 2021
Mailing address11591 Olio Rd, Fishers, IN 46037-7613

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 Ivx Health Of Indiana, P.C. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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