KIMBERLY ROSE WILSON (ANP-BC) – Adult Health Nurse Practitioner, NPI 1538451141
Adult Health 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 ROSE WILSON (ANP-BC)
6348 N MILWAUKEE AVE STE 390
CHICAGO, IL 606463728
Phone: (847) 235-6130
Fax: (847) 235-6135
Type: Mailing
5132 N ELSTON AVE
CHICAGO, IL 606302429
Phone: (847) 235-6130
Fax: (847) 941-0577
Type: Mailing
50 N JANE DR
ELGIN, IL 601235118
Phone: (847) 235-6130
Fax: (847) 235-6135
Type: Location
4711 GOLF RD 1250
SKOKIE, IL 600761224
Phone: (847) 235-6130
Type: Location
6348 N Milwaukee Ave Ste 390
Chicago, IL 606463728
Phone: (847) 235-6130
Fax: (847) 235-6135
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-09-09 • Largest payer in this snapshot: Dexcom, Inc. ($24).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $24 |
| IBSA Pharma Inc. | $19 |
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: 2026-01-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
8
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20110711000549 | I | Nurse Practitioner | IL | TBD |
| I20151102000620 | I | Nurse Practitioner | IA | 2023-11-30 |
| I20160205002358 | I | Nurse Practitioner | IN | TBD |
| I20160810000799 | I | Nurse Practitioner | MO | TBD |
| I20200309000423 | I | Nurse Practitioner | OK | TBD |
| I20240905001029 | I | Nurse Practitioner | FL | TBD |
| I20241114001399 | I | Nurse Practitioner | OH | TBD |
| I20260127002178 | I | Nurse Practitioner | NJ | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 60646)
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