DR. KIMBERLY SUE VAN ELK (M.D.) – Anesthesiology Physician, NPI 1164714556
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,447 ANESTHESIOLOGY in IN
Provider Addresses for DR. KIMBERLY SUE VAN ELK (M.D.)
5215 HOLY CROSS PKWY
MISHAWAKA, IN 46545
Phone: (574) 335-5000
Fax: (574) 233-3125
Type: Location
7520 TOSCANA CT
GRANGER, IN 465308056
Phone: (765) 748-2309
Fax: (574) 233-3125
Type: Mailing
200 HIGH PARK AVE
GOSHEN, IN 465264810
Phone: (574) 364-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2023-01-23 • Largest payer in this snapshot: Avanos Medical ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-01-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avanos Medical | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-06-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150602003023 | I | Anesthesiology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 34 | 34 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 20 | 20 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 18 | 18 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 13 | 13 | $0 |
Insurance plans in this area (ZIP 46545)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | IN | |
| Anesthesiology, Pain Management, Anesthesiology | IN | |
| A N E S T H E S I O L O G Y | OH | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| Certified Registered Nurse Anesthetist (Crna) | NC | |
| A N E S T H E S I O L O G Y | IN | |
| Certified Registered Nurse Anesthetist (Crna) | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.