MRS. NICOLE B KINBERG (APRN) – Nurse Practitioner, NPI 1063146223

MRS. NICOLE B KINBERG (APRN) is a healthcare provider. based in Long grove, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209025475 (IL). The NPI Number for MRS. NICOLE B KINBERG (APRN) is 1063146223

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE B KINBERG (APRN)
NPI
1063146223
Phone
(847) 719-2220
Address
3880 SALEM LAKE DR STE F
Enumeration Date
13 July 2022
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8473819600
Graduation Year
2022 (4 years ago)
PAC ID
6406231778
Group Practice PAC ID
5799687372
Professional Enrollment ID
I20220922002140
Address ID
IL600101919BA450XX22XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:3State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. NICOLE B KINBERG (APRN)

  • 3880 SALEM LAKE DR STE F

    LONG GROVE, IL 600475292

    Phone: (847) 719-2220

    Fax: (847) 719-2265

    Type: Mailing

  • 3880 SALEM LAKE DR # F

    LONG GROVE, IL 600475292

    Phone: (847) 719-2220

    Type: Location

  • PO BOX 735263

    CHICAGO, IL 606735263

    Phone:

    Type: Mailing

  • 1550 N RANDALL RD

    ELGIN, IL 601237876

    Phone: (815) 398-9491

    Fax: (815) 381-7498

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $566.

Total Amount is formed as General ($566) + Research ($0) + Ownership ($0) = $566.

Last reported payment date: 2024-06-18 • Largest payer in this snapshot: Inari Medical, Inc. ($298).

Total Amount

$566

General + Research + Ownership

Payments

5

Total payment records

General Amount

$566

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-09-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220922002140INurse PractitionerILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2218$0
View full utilization report →

Insurance plans in this area (ZIP 60047)

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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: 5799687372View full group profile
NameSpecialtyState
Internal MedicineIL
Internal MedicineIL
Nurse PractitionerIL
Family PracticeIL
Family PracticeIL
Internal MedicineIL
Internal MedicineIL
Internal MedicineIL
-IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. NICOLE B KINBERG (APRN)'s NPI?
Yes. MRS. NICOLE B KINBERG (APRN) is listed with NPI 1063146223 in the public NPI dataset.
Can I rely on MRS. NICOLE B KINBERG (APRN) being an active provider?
As of the registry snapshot, MRS. NICOLE B KINBERG (APRN) is marked active.
What healthcare role does MRS. NICOLE B KINBERG (APRN) hold?
Scheduling teams often label MRS. NICOLE B KINBERG (APRN) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MRS. NICOLE B KINBERG (APRN) serve?
MRS. NICOLE B KINBERG (APRN)'s listing highlights Long Grove, Illinois; more addresses can appear in NPPES.
Why does MRS. NICOLE B KINBERG (APRN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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