KIMBERLEY DONALD (APN) – Family Nurse Practitioner, NPI 1245606946

KIMBERLEY DONALD (APN) is a healthcare provider. based in Milan, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209013092 (IL). The NPI Number for KIMBERLEY DONALD (APN) is 1245606946

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLEY DONALD (APN)
NPI
1245606946
Phone
(309) 787-2600
Address
1929 10TH AVE E
Enumeration Date
17 August 2015
Last Update Date
5 November 2015

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
3096012800
Graduation Year
2015 (11 years ago)
PAC ID
7810297751
Group Practice PAC ID
7618142183
Professional Enrollment ID
I20151130000570
Address ID
IL612656138MO525XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KIMBERLEY DONALD (APN)

  • 1929 10TH AVE E

    MILAN, IL 612642953

    Phone: (309) 787-2600

    Fax: (309) 787-2643

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 85 Open Payments records for all available years, with a total value of $2,176.

Total Amount is formed as General ($2,176) + Research ($0) + Ownership ($0) = $2,176.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($787).

Total Amount

$2,176

General + Research + Ownership

Payments

85

Total payment records

General Amount

$2,176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2017-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20151130000570INurse PractitionerILTBD
I20170724001919INurse PractitionerIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4032$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 61264)

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Provider's Procedures

KIMBERLEY DONALD (APN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIL81002Urinalysis, manual test3928

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: 7618142183View full group profile
NameSpecialtyState
P A T H O L O G YIL
Nurse PractitionerIA
-IL
Internal Medicine, GastroenterologyIL
-IL
Gastroenterology, Internal MedicineIL
P A T H O L O G YGA
Nurse PractitionerIA
Nurse PractitionerIA

Reviews

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Frequently asked questions

Is there an official ID for KIMBERLEY DONALD (APN) in U.S. healthcare records?
The official identifier for KIMBERLEY DONALD (APN) is NPI 1245606946.
Active or inactive — what applies to KIMBERLEY DONALD (APN)?
You should see KIMBERLEY DONALD (APN) as active in CMS-hosted NPPES data.
What kind of doctor is KIMBERLEY DONALD (APN)?
KIMBERLEY DONALD (APN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is KIMBERLEY DONALD (APN) located near Milan?
KIMBERLEY DONALD (APN) currently maps to Milan, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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