KIMBERLY C ANDEREGG (FNP) – Family Nurse Practitioner, NPI 1396059606
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for KIMBERLY C ANDEREGG (FNP)
1560 75TH ST
DOWNERS GROVE, IL 605166207
Phone: (630) 964-3512
Type: Mailing
7601 MADISON ST STE E
FOREST PARK, IL 601303504
Phone:
Type: Mailing
555 Market St Fl 13
San Francisco, CA 941052806
Phone: (855) 527-1850
Fax: (650) 360-0447
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 24 Open Payments records for all available years, with a total value of $1,289.
Total Amount is formed as General ($1,289) + Research ($0) + Ownership ($0) = $1,289.
Last reported payment date: 2024-10-22 • Largest payer in this snapshot: ABBVIE INC. ($974).
Total Amount
$1,289
General + Research + Ownership
Payments
24
Total payment records
General Amount
$1,289
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $974 |
| Allergan, Inc. | $131 |
| Galderma Laboratories, L.P. | $88 |
| Novo Nordisk Inc | $83 |
| Lilly USA, LLC | $13 |
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: 2023-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20170119000331 | I | Nurse Practitioner | CO | TBD |
| I20220602002767 | I | Nurse Practitioner | MA | TBD |
| I20220606002994 | I | Nurse Practitioner | FL | TBD |
| I20220607002617 | I | Nurse Practitioner | AZ | TBD |
| I20230127002511 | I | Nurse Practitioner | NV | 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 60516)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | PA | |
| Physician Assistant | PA | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | MO |
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