Mrs Kyli Ann Mccullough-gracia, FNP- BC, FNP-C in Kendallville, IN

Mrs Kyli Ann Mccullough-gracia, FNP- BC, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kendallville, Indiana. Her current practice location is 610 N Sawyer Rd, Kendallville, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 347-5592.

Mrs Kyli Ann Mccullough-gracia is licensed to practice in Indiana (license number 71015167A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467234187.

Contact Information

	Mrs Kyli Ann Mccullough-gracia, FNP- BC, FNP-C
	610 N Sawyer Rd, Kendallville, IN 46755-2566
	(260) 347-5592
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kyli Ann Mccullough-gracia
Gender	Female
Speciality	Nurse Practitioner - Family
Location	610 N Sawyer Rd, Kendallville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467234187
Provider Enumeration Date: 10/17/2023
Last Update Date: 06/21/2024

Medicare PECOS Information:

PECOS PAC ID: 5597209452
Enrollment ID: I20240702002781

Medical Identifiers

Medical identifiers for Mrs Kyli Ann Mccullough-gracia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467234187	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0034654 (Ohio)	Secondary
363LF0000X	Nurse Practitioner - Family	71015167A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Kyli Ann Mccullough-gracia allows following entities to bill medicare on her behalf.

Entity Name	Northeast Internal Medicine Associates, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174518500 PECOS PAC ID: 7113830688 Enrollment ID: O20031111000068

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kyli Ann Mccullough-gracia is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kyli Ann Mccullough-gracia, FNP- BC, FNP-C Po Box 236, Lagrange, IN 46761-0236 Ph: (260) 463-2133	Mrs Kyli Ann Mccullough-gracia, FNP- BC, FNP-C 610 N Sawyer Rd, Kendallville, IN 46755-2566 Ph: (260) 347-5592

Reviews and Comments

Nurse Practitioner Nurses in Kendallville, IN

Mrs. Elizabeth Anne Mysliwiec, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1732 W North St, Kendallville, IN 46755 Phone: 260-544-8054 Fax: 260-544-8055
Alissa Anglemyer, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 610 N Sawyer Rd, Kendallville, IN 46755 Phone: 918-931-0861
Jessica R Ramer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 326 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-349-9166 Fax: 260-343-9041
Wendy J Walmsley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 420 N Sawyer Rd, Kendallville, IN 46755 Phone: 260-347-8030 Fax: 260-347-8035
Lauren Kay Carlisle, APRN, MSN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1732 W North St, Kendallville, IN 46755 Phone: 931-253-1110
Mrs. Barbara Ann Chivers, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1844 Ida Red Rd, Kendallville, IN 46755 Phone: 260-347-8810
Connie S. Cole, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5900 E 500 N, Kendallville, IN 46755 Phone: 260-349-8185

Mrs Kyli Ann Mccullough-gracia, FNP- BC, FNP-C - Medicare Nurse Practitioner in Kendallville, IN