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

Mrs. Kyli Ann McCullough-Gracia, FNP-BC, FNP-C

Individual provider Family Nurse Practitioner · NPI 1467234187

Mrs. Kyli Ann McCullough-Gracia, FNP-BC, FNP-C is a Nurse Practitioner in Kendallville, Indiana. Qualified in 2023, 3 years ago. Practices with Northeast Internal Medicine Associates, PC, a 53-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
3
Licensed in
IN, OH
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

610 N Sawyer Rd
Kendallville, IN 46755-2566
Phone: (260) 347-5592
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71015167A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0034654 (OH)

Record details

NPI number1467234187
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , FNP-C
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Internal Medicine Associates, Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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