MRS. KIRSTI ROSE WILLIS (APN) – Nurse Practitioner, NPI 1023670247
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for MRS. KIRSTI ROSE WILLIS (APN)
1262, Windemere Avenue, Naperville, Will County, Illinois, 60564, United States
NAPERVILLE, IL 605648795
Phone: (630) 853-3712
Type: Mailing
Mount Sinai Hospital, 1500, South Fairfield Avenue, North Lawndale, Chicago, Cook County, Illinois, 60608, United States
CHICAGO, IL 606081782
Phone: (773) 542-2000
Type: Location
24600 W 127th St
Plainfield, IL 605859507
Phone: (630) 961-7485
Fax: (815) 731-4406
Type: Location
1707 FROST LN
NAPERVILLE, IL 605645164
Phone: (630) 853-3712
Type: Mailing
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone: (847) 982-3172
Type: Mailing
801 S WASHINGTON ST
NAPERVILLE, IL 605407430
Phone: (630) 527-3000
Type: Location
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-09-10
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 |
|---|---|---|---|---|
| I20190910001283 | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 96 | 96 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 46 | 46 | $0 |
Insurance plans in this area (ZIP 60564)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | MA | |
| Emergency Medicine | FL | |
| Emergency Medicine | IL | |
| Physician Assistant | IL | |
| Emergency Medicine | IL | |
| - | IL | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL |
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