NICOLE KIEFFER (APN) – Gerontology Nurse Practitioner, NPI 1245747971

NICOLE KIEFFER (APN) is a healthcare provider. based in Rockford, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 041.393947 (IL). The NPI Number for NICOLE KIEFFER (APN) is 1245747971

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE KIEFFER (APN)
NPI
1245747971
Phone
(815) 988-8500
Address
4215 NEWBURG RD
Enumeration Date
3 January 2018
Last Update Date
20 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6303206871
Graduation Year
2017 (9 years ago)
PAC ID
3274896691
Group Practice PAC ID
4981988771
Professional Enrollment ID
I20180418001445
Address ID
IL601813952OA1XXXXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for NICOLE KIEFFER (APN)

  • 4215 NEWBURG RD

    ROCKFORD, IL 611086479

    Phone: (815) 988-8500

    Fax: (815) 977-5956

    Type: Location

  • 209, East State Street, Rockford, Winnebago County, Illinois, 61104, United States

    ROCKFORD, IL 611041572

    Phone: (815) 988-8500

    Fax: (815) 977-5956

    Type: Mailing

  • 1511, North Blackhawk Boulevard, Rockton, Winnebago County, Illinois, 61080, United States

    ROCKTON, IL 610721513

    Phone: (815) 988-8500

    Fax: (815) 977-5956

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $131.

Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.

Last reported payment date: 2024-10-25 • Largest payer in this snapshot: ABIOMED ($96).

Total Amount

$131

General + Research + Ownership

Payments

5

Total payment records

General Amount

$131

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-25

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$96
Abbott Laboratories$36
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: 2018-04-18

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
I20180418001445INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes870364$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes638248$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes488330$0
View full utilization report →

Insurance plans in this area (ZIP 61108)

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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: 4981988771View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationIL
Physical Medicine And Rehabilitation, Pain ManagementIN
Physical Medicine And RehabilitationIL
Physical Medicine And RehabilitationTX
Nurse PractitionerIL
Nurse PractitionerIL
Internal Medicine, Hospitalist, Internal MedicineIL

Reviews

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Frequently asked questions

What number should I use to identify NICOLE KIEFFER (APN) for billing?
Administrative and clinical systems typically use NPI 1245747971 for NICOLE KIEFFER (APN).
Is NICOLE KIEFFER (APN) currently accepting referrals based on NPI status?
Registry metadata lists NICOLE KIEFFER (APN) as active.
What services align with NICOLE KIEFFER (APN)'s listing?
NICOLE KIEFFER (APN)'s public classification highlights Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to NICOLE KIEFFER (APN)?
NICOLE KIEFFER (APN) shows a connection to Rockford, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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