MRS. KIMBERLY JO DUTTLINGER (RN, CRNA) – Certified Registered Nurse Anesthetist, NPI 1548439623

MRS. KIMBERLY JO DUTTLINGER (RN, CRNA) is a healthcare provider. based in Joliet, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials RN, CRNA. They hold a License No. 209006987 (IL). The NPI Number for MRS. KIMBERLY JO DUTTLINGER (RN, CRNA) is 1548439623

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY JO DUTTLINGER (RN, CRNA)
NPI
1548439623
Phone
(815) 725-7133
Address
301 Madison St
Enumeration Date
22 February 2008
Last Update Date
18 May 2018

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Secondary Phone
6305841400
Graduation Year
2008 (18 years ago)
PAC ID
5395815534
Group Practice PAC ID
9638530991
Professional Enrollment ID
I20080530000605
Address ID
IL601342578GE2525XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for MRS. KIMBERLY JO DUTTLINGER (RN, CRNA)

  • 301 Madison St

    Joliet, IL 604356549

    Phone: (815) 725-7133

    Type: Location

  • 333 Madison St

    Joliet, IL 604358200

    Phone: (815) 725-7133

    Type: Location

  • Illinois Valley Community Hospital, 925, West Street, Peru, LaSalle County, Illinois, 61354, United States

    PERU, IL 613542757

    Phone: (815) 223-3300

    Fax: (815) 224-6763

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $158.

Total Amount is formed as General ($158) + Research ($0) + Ownership ($0) = $158.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($60).

Total Amount

$158

General + Research + Ownership

Payments

8

Total payment records

General Amount

$158

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2008-05-30

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
I20080530000605ICertified Registered Nurse Anesthetist (Crna)ILTBD

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
00142Anesthesia for lens surgery3331$0
00813Anesthesia for procedure on small and large bowel using an endoscope2727$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2221$0
00811Anesthesia for other procedure on large bowel using an endoscope2121$0
00910Anesthesia for other procedure on urinary system through urethra1212$0
View full utilization report →

Insurance plans in this area (ZIP 60435)

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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: 9638530991View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)WI
Critical Care (Intensivists), AnesthesiologyPA
A N E S T H E S I O L O G YWI
A N E S T H E S I O L O G YIL
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)MA
Certified Registered Nurse Anesthetist (Crna)IL
Certified Registered Nurse Anesthetist (Crna)KS

Reviews

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Frequently asked questions

What number should I use to identify MRS. KIMBERLY JO DUTTLINGER (RN, CRNA) for billing?
Administrative and clinical systems typically use NPI 1548439623 for MRS. KIMBERLY JO DUTTLINGER (RN, CRNA).
Does the public listing show MRS. KIMBERLY JO DUTTLINGER (RN, CRNA) as active?
MRS. KIMBERLY JO DUTTLINGER (RN, CRNA)'s NPI record reflects an active status in NPPES.
Which specialty label fits MRS. KIMBERLY JO DUTTLINGER (RN, CRNA)?
NPPES ties MRS. KIMBERLY JO DUTTLINGER (RN, CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MRS. KIMBERLY JO DUTTLINGER (RN, CRNA)?
MRS. KIMBERLY JO DUTTLINGER (RN, CRNA) is associated with Joliet, Illinois in the same public data insurers reference.
Can I export MRS. KIMBERLY JO DUTTLINGER (RN, CRNA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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