KIMBERLY ZOELLICK (FNP) – Pediatrics Physician, NPI 1104344431
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KIMBERLY ZOELLICK (FNP)
8100 W 119TH ST STE 400
PALOS PARK, IL 604643080
Phone: (708) 361-3300
Type: Mailing
140 LE MOYNE PKWY
OAK PARK, IL 603021156
Phone: (630) 254-6240
Type: Mailing
14, Lake Street, Ridgeland, Oak Park, Cook County, Illinois, 60302, United States
OAK PARK, IL 603022606
Phone: (708) 383-0113
Fax: (708) 383-9911
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $145.
Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: PFIZER INC. ($50).
Total Amount
$145
General + Research + Ownership
Payments
6
Total payment records
General Amount
$145
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $50 |
| SANOFI-AVENTIS U.S. LLC | $32 |
| Merck Sharp & Dohme LLC | $23 |
| SOBI, INC | $20 |
| Kyowa Kirin, Inc. | $20 |
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: 2017-09-28
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 |
|---|---|---|---|---|
| I20170928002171 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60464)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| Family Practice | IL | |
| - | IL | |
| Hospitalist, Family Practice | IL | |
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Family Practice | MI | |
| - | CO |
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