KIMBERLY LUCAITIS (FNP) – Family Nurse Practitioner, NPI 1164705042

KIMBERLY LUCAITIS (FNP) is a healthcare provider. based in Gary, Indiana. specializing in Family Nurse Practitioner. They hold the professional credentials FNP. They hold a License No. 28141967A (IN). The NPI Number for KIMBERLY LUCAITIS (FNP) is 1164705042

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY LUCAITIS (FNP)
NPI
1164705042
Phone
(219) 886-4464
Address
600 GRANT ST
Enumeration Date
27 September 2011
Last Update Date
18 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2197385500
Graduation Year
2011 (15 years ago)
PAC ID
0244497394
Group Practice PAC ID
4981841780
Professional Enrollment ID
I20120201000781
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for KIMBERLY LUCAITIS (FNP)

  • 600 GRANT ST

    GARY, IN 464026001

    Phone: (219) 886-4464

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46402)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4981841780View full group profile
NameSpecialtyState
Internal MedicineIL
-IN
-IL
Physician AssistantIL
Physician AssistantIN
Internal MedicineIL
Hospitalist, Family Practice, Family PracticeVA
Internal MedicineIN
Internal MedicineOH
Internal MedicineIN

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Frequently asked questions

Does KIMBERLY LUCAITIS (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIMBERLY LUCAITIS (FNP) uses 1164705042.
Is KIMBERLY LUCAITIS (FNP) listed as active for patients and plans?
The listing shows KIMBERLY LUCAITIS (FNP) as active in the NPI system.
What healthcare role does KIMBERLY LUCAITIS (FNP) hold?
Scheduling teams often label KIMBERLY LUCAITIS (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KIMBERLY LUCAITIS (FNP) list a practice location?
Patients near Gary, Indiana may find KIMBERLY LUCAITIS (FNP) in results; validate coverage separately.
Why does KIMBERLY LUCAITIS (FNP) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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