DR. KIMBERLY K KIDNER (D.C.) – Chiropractor, NPI 1093896680

DR. KIMBERLY K KIDNER (D.C.) is a healthcare provider. based in Pontiac, Illinois. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 038-008659 (IL). The NPI Number for DR. KIMBERLY K KIDNER (D.C.) is 1093896680

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIMBERLY K KIDNER (D.C.)
NPI
1093896680
Phone
(815) 844-4631
Address
402 N PLUM ST
Enumeration Date
18 October 2006
Last Update Date
12 October 2012

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
8158444631
Graduation Year
1998 (28 years ago)
PAC ID
6002704640
Group Practice PAC ID
6002804937
Professional Enrollment ID
I20040305001100
Address ID
IL617641817PO402XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,145 CHIROPRACTIC in IL

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Provider Addresses for DR. KIMBERLY K KIDNER (D.C.)

  • 402, North Plum Street, Pontiac, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617641817

    Phone: (815) 844-4631

    Fax: (815) 844-1942

    Type: Mailing

  • 402, North Plum Street, Pontiac, Pontiac Township, Livingston County, Illinois, 61764, United States

    PONTIAC, IL 617649786

    Phone: (815) 844-4631

    Fax: (815) 844-1942

    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: 2004-03-05

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
I20040305001100IChiropracticILTBD

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
98941Chiropractic manipulative treatment, 3-4 spinal regions68170$0
View full utilization report →

Insurance plans in this area (ZIP 61764)

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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: 6002804937View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

What NPI should I save for DR. KIMBERLY K KIDNER (D.C.)?
Save NPI 1093896680 if you need a stable reference for DR. KIMBERLY K KIDNER (D.C.).
Is DR. KIMBERLY K KIDNER (D.C.) active in the national directory?
DR. KIMBERLY K KIDNER (D.C.)'s public NPI profile is in an active state.
What does DR. KIMBERLY K KIDNER (D.C.) treat or focus on?
Patients typically see DR. KIMBERLY K KIDNER (D.C.) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for DR. KIMBERLY K KIDNER (D.C.)?
We surface Pontiac, Illinois for DR. KIMBERLY K KIDNER (D.C.) based on available NPPES addresses.
How can I contact DR. KIMBERLY K KIDNER (D.C.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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