KIMBERLY A KISH (APN, CNP) – Family Nurse Practitioner, NPI 1023360419
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for KIMBERLY A KISH (APN, CNP)
1000 MEDICAL CENTER DR
MONTICELLO, IL 618562116
Phone: (217) 762-6241
Fax: (217) 762-1702
Type: Mailing
407 S JACKSON ST STE A
CERRO GORDO, IL 618184360
Phone: (217) 763-6010
Fax: (217) 763-6012
Type: Location
2880 N MONROE ST
DECATUR, IL 625263269
Phone: (217) 330-8939
Fax: (217) 330-9063
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $475.
Total Amount is formed as General ($475) + Research ($0) + Ownership ($0) = $475.
Last reported payment date: 2023-08-17 • Largest payer in this snapshot: Janssen Biotech, Inc. ($83).
Total Amount
$475
General + Research + Ownership
Payments
22
Total payment records
General Amount
$475
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $83 |
| Dermavant Sciences, Inc. | $78 |
| Novartis Pharmaceuticals Corporation | $77 |
| UCB, Inc. | $48 |
| Lilly USA, LLC | $46 |
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: 2013-02-14
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 |
|---|---|---|---|---|
| I20130214000528 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 427 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 149 | 131 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 123 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 90 | 86 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 34 | 33 | $0 |
Insurance plans in this area (ZIP 61856)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| General Surgery, Colorectal Surgery (Proctology) | IL | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Interventional Cardiology | MO | |
| - | IL | |
| - | IL | |
| Physician Assistant | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL |
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