KIMBERLY M. WILKINSON (NPI# 1316187057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316187057 |
| Entity Type | Individual |
| Full Name | KIMBERLY M. WILKINSON |
| Other Name | KIMBERLY M. DUSICH |
| Credential | PA-C |
| Practice Address |
8101 Clearvista Pkwy Suite 200 Indianapolis IN 46256-4696 |
| Mailing Address |
6626 E 75th St Suite 500 Indianapolis IN 46250-2805 |
| Practice Telephone | 3176216660 |
| Practice Fax Number | 3176214473 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10002145A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085003302 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RR MEDICARE PTAN (INDIVIDUAL) | P01104053 | 01 |
| IL | MEDICARE PTAN (INDIVIDUAL) | 920540022 | 01 |
| IL | MEDICARE PTAN (GROUP) | 920540 | 01 |
| IL | RR MEDICARE PTAN (GROUP) | DB1658 | 01 |
| IN | RR MEDICARE | P01777161 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597651 | Kimberly Sue Wilkinson | Counselor | 1941 S 42nd St Ste 328, Omaha, NE 68105-2943 | 2019-09-18 |
| 1689195646 | Kimberly Wilkinson | Nurse Practitioner | 3686 S Rome St, Gilbert, AZ 85297-7341 | 2017-06-29 |
| Street Address |
8101 CLEARVISTA PKWY SUITE 200 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46256-4696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982688297 | Anne Marie Adams | Internal Medicine | 8101 Clearvista Pkwy, Suite 200, Indianapolis, IN 46256-4696 | 2005-11-30 |
| 1558714220 | Danielle Culbreath | Nurse Practitioner | 8101 Clearvista Pkwy, Indianapolis, IN 46256-4696 | 2016-07-18 |
| 1225409402 | Amy M Miller-smith | Nurse Practitioner | 8101 Clearvista Pkwy, Suite 200, Indianapolis, IN 46256-4696 | 2015-10-13 |
| 1578947131 | Linda G Sherman | Registered Nurse | 8101 Clearvista Pkwy, Suite 200, Indianapolis, IN 46256-4696 | 2015-07-14 |
| 1750773966 | Katharine Klyczek | Pharmacist | 8101 Clearvista Pkwy, Suite 190, Indianapolis, IN 46256-4696 | 2015-02-25 |
| 1114296134 | Susan C Smith | Nurse Practitioner | 8101 Clearvista Pkwy, Suite 200, Indianapolis, IN 46256-4696 | 2011-12-20 |
| 1073775029 | Brooke C Calhoun | Nurse Practitioner | 8101 Clearvista Pkwy, Suite 200, Indianapolis, IN 46256-4675 | 2008-07-01 |
| 1700977337 | Virginia E Spears | Nurse Practitioner | 8101 Clearvista Pkwy, Suite 200, Indianapolis, IN 46256 | 2006-09-27 |
| 1043325186 | Reetu Bachhawat | Internal Medicine | 8101 Clearvista Pkwy, Suite 200, Indianapolis, IN 46256-4696 | 2006-08-20 |
| 1306850532 | Kevin C Coss | Internal Medicine | 8101 Clearvista Pkwy, Suite 200, Indianapolis, IN 46256-4675 | 2006-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790316859 | Jacob R Weeks | Behavior Technician | 9769 Crosspointed Blvd, Fishers, IN 46256 | 2020-01-28 |
| 1780236620 | Amare Hospice & Palliative Care | Family Medicine | 10475 Crosspoint Boulevard, Suite 250, Indianapolis, IN 46256 | 2019-07-11 |
| 1588226864 | Accutreat LLC | Clinical Medical Laboratory | 9661 Crosspoint Blvd, Indianapolis, IN 46256 | 2019-07-08 |
| 1447732557 | Kathleen O'hara | Marriage & Family Therapist | 8202 Clearvista Pkwy Unit 7, Indianapolis, IN 46256 | 2018-09-05 |
| 1205313608 | Healing Bridges Counseling, LLC | Marriage & Family Therapist | 8465 Keystone Crossing, Suite 266, Indianapolis, IN 46256 | 2018-07-27 |
| 1477062123 | Rosalee Ann Miller | Social Worker | 8202 Clearvista Parkway, Suite 6a, Indianapolis, IN 46256 | 2017-09-26 |
| 1760900039 | Amye Litherland | Registered Nurse | 7525 E. 82nd St Ste A, Indianapolis, IN 46256 | 2017-09-06 |
| 1275074239 | Jason Dempsey | Hearing Instrument Specialist | 8202 Clearvista Pkwy 3a, Indianapolis, IN 46256 | 2017-03-10 |
| 1578922761 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 7155 Shadeland Station Way, Suite 130, Indianapolis, IN 46256 | 2016-02-16 |
| 1477925071 | Samantha Kitcoff | Physician Assistant | 8180 Clearvista Pkwy Ste 100, Indianapolis, IN 46256 | 2015-10-22 |
| Find all providers in zip 46256 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779739 | Brock Sokolowski | Physician Assistant | 4581 Nikki Dr Apt D, Indianapolis, IN 46237-1703 | 2020-10-28 |
| 1699373357 | Dillon Etter | Physician Assistant | 2848 N Delaware St, Indianapolis, IN 46205-4118 | 2020-10-15 |
| 1962017210 | Taylor Lee Bowen | Physician Assistant | 2760 Woodwind Way, Indianapolis, IN 46268-4233 | 2020-09-14 |
| 1912512476 | William Terrell Parmenter | Physician Assistant | 2230 English Ave, Indianapolis, IN 46201-4017 | 2020-09-11 |
| 1457966376 | Angela Shearon | Physician Assistant | 4325 N College Ave, Indianapolis, IN 46205-1931 | 2020-09-09 |
| 1639797004 | John Padraic Allbritton | Physician Assistant | 9339 Notre Dame Dr Apt D, Indianapolis, IN 46240-4168 | 2020-07-11 |
| 1154949907 | Jonathon Michael Hirsch | Physician Assistant | 5801 N Olney St Apt 9, Indianapolis, IN 46220-5181 | 2020-07-08 |
| 1437776838 | Megan Leanna Reynolds | Physician Assistant | 3841 Rookwood Ave, Indianapolis, IN 46208-3926 | 2020-07-01 |
| 1669099412 | Alisa Elaine Schrump | Physician Assistant | 7618 Old Hickory Ct, Indianapolis, IN 46259-9575 | 2020-06-28 |
| 1144846148 | Melanie M. Herrold | Physician Assistant | 5255 E Stop 11 Rd Ste 200, Indianapolis, IN 46237-6341 | 2020-06-25 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46256 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.