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KIMBERLY ANNE MCGILLICUDDY PMH-NP NPI 1255840401


NPI Information

NPI: 1255840401
Provider Name: KIMBERLY ANNE MCGILLICUDDY, PMH-NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2451 INTELLIPLEX DR SUITE 260
SHELBYVILLE, IN
ZIP 46176
Phone: (317) 398-0121
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Kimberly Anne Mcgillicuddy, PMH-NP is a psychiatric/mental health nurse practitioner in Shelbyville, IN with 7 years of experience. Kimberly Anne Mcgillicuddy, PMH-NP NPI is 1255840401. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2451 INTELLIPLEX DR SUITE 260
SHELBYVILLE, IN
ZIP 46176-580
Phone: (317) 398-0121

The NPI 1255840401 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 9/20/2017 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner71007536AINDIANANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health71007536AINDIANAYes
3163W00000XRegistered Nurse28199185AINDIANANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.