KIMBERLY C ANDEREGG (FNP) – Family Nurse Practitioner, NPI 1396059606

KIMBERLY C ANDEREGG (FNP) is a healthcare provider. based in Downers grove, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 277000334 (IL). The NPI Number for KIMBERLY C ANDEREGG (FNP) is 1396059606

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY C ANDEREGG (FNP)
NPI
1396059606
Phone
(630) 964-3512
Address
1560 75TH ST
Enumeration Date
28 July 2010
Last Update Date
18 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309643512
Graduation Year
2010 (16 years ago)
PAC ID
2567658255
Group Practice PAC ID
2264739804
Professional Enrollment ID
I20120423000770
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:15State licenses:2Digital endpointsOther names

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

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: 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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170119000331INurse PractitionerCOTBD
I20220602002767INurse PractitionerMATBD
I20220606002994INurse PractitionerFLTBD
I20220607002617INurse PractitionerAZTBD
I20230127002511INurse PractitionerNVTBD

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.

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

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: 2264739804View full group profile

Reviews

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Frequently asked questions

Can I verify KIMBERLY C ANDEREGG (FNP) with an NPI only?
You can start verification with NPI 1396059606 for KIMBERLY C ANDEREGG (FNP), then check state licensing separately.
Does the file indicate KIMBERLY C ANDEREGG (FNP) is practicing under active NPI?
Directory data currently reports KIMBERLY C ANDEREGG (FNP) as active.
What is KIMBERLY C ANDEREGG (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for KIMBERLY C ANDEREGG (FNP) here. Clinical services aligned with this taxonomy classification.
What address line appears for KIMBERLY C ANDEREGG (FNP)?
KIMBERLY C ANDEREGG (FNP)'s geographic hint is Downers Grove, Illinois in our summary view.
Why does KIMBERLY C ANDEREGG (FNP) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.