KYTORI TOLBERT (MSN, APRN, FNP) – Family Nurse Practitioner, NPI 1063249373

KYTORI TOLBERT (MSN, APRN, FNP) is a healthcare provider. based in Burbank, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP. They hold a License No. 041468791 (IL). The NPI Number for KYTORI TOLBERT (MSN, APRN, FNP) is 1063249373

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KYTORI TOLBERT (MSN, APRN, FNP)
NPI
1063249373
Phone
(773) 941-9750
Address
4817 W 83RD ST
Enumeration Date
19 September 2024
Last Update Date
19 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6305815372
Graduation Year
2024 (2 years ago)
PAC ID
0446732093
Group Practice PAC ID
0547495467
Professional Enrollment ID
I20260304000521
Address ID
IL605272325WI40XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KYTORI TOLBERT (MSN, APRN, FNP)

  • 4817 W 83RD ST

    BURBANK, IL 604592790

    Phone: (773) 941-9750

    Type: Mailing

  • 2955 W 95TH ST

    EVERGREEN PARK, IL 608052409

    Phone: (708) 423-2880

    Type: Location

  • 4817 W 83rd St

    Burbank, IL 604592790

    Phone: (708) 966-6241

    Type: Location

  • 12850 S Ashland Ave

    Calumet Park, IL 608276308

    Phone: (708) 631-2781

    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: 2026-03-04

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
I20260304000521INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60459)

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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: 0547495467View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerTX
Family PracticeIL
Hospitalist, Family PracticeIL
Nurse PractitionerIL
-IL
Family PracticeIL

Reviews

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Frequently asked questions

Does KYTORI TOLBERT (MSN, APRN, FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KYTORI TOLBERT (MSN, APRN, FNP) uses 1063249373.
Is KYTORI TOLBERT (MSN, APRN, FNP) listed as active for patients and plans?
The listing shows KYTORI TOLBERT (MSN, APRN, FNP) as active in the NPI system.
What taxonomy line describes KYTORI TOLBERT (MSN, APRN, FNP)?
For research purposes, treat KYTORI TOLBERT (MSN, APRN, FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KYTORI TOLBERT (MSN, APRN, FNP)?
KYTORI TOLBERT (MSN, APRN, FNP)'s geographic hint is Burbank, Illinois in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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