Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Kyli Ann McCullough-Gracia, FNP-BC, FNP-C

Individual provider Family Nurse Practitioner · NPI 1467234187

Mrs. Kyli Ann McCullough-Gracia, FNP-BC, FNP-C is a Nurse Practitioner in Kendallville, Indiana. Qualified in 2023, 3 years ago. Practices with Northeast Internal Medicine Associates, PC, a 53-clinician group and accepts Medicare assignment. Licensed in Indiana and Ohio.

Years since qualifying
3
Licensed in
IN, OH
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

610 N Sawyer Rd
Kendallville, IN 46755-2566
Phone: (260) 347-5592
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71015167A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN.CNP.0034654 (OH)

Record details

NPI number1467234187
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , FNP-C
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northeast Internal Medicine Associates, Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients64
Services billed 65 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Northeast Internal Medicine Associates, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 53 clinicians in the practice; 12 are shown here.

Other providers in Kendallville