JUDI KITTLE FORNER – Adult Health Clinical Nurse Specialist, NPI 1194123679
Adult Health Clinical Nurse Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for JUDI KITTLE FORNER
10370 Haligus Rd Ste 200
Huntley, IL 601429582
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Location
360 Station Dr Fl 3
Crystal Lake, IL 600147978
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Location
5666 E State St
Rockford, IL 611082425
Phone: (815) 227-2657
Fax: (815) 395-5381
Type: Location
4309 W MEDICAL CENTER DR STE A200
MCHENRY, IL 600508437
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $87.
Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.
Last reported payment date: 2023-02-10 • Largest payer in this snapshot: Abbott Laboratories ($87).
Total Amount
$87
General + Research + Ownership
Payments
1
Total payment records
General Amount
$87
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $87 |
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: 2017-03-23
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 |
|---|---|---|---|---|
| I20170323001908 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 794 | 678 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 110 | 96 | $0 |
Insurance plans in this area (ZIP 60142)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| - | IL | |
| - | TN | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Family Practice | IL | |
| Emergency Medicine | IL | |
| - | IL |
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