KRISTIN LEIGH WILLIFORD (AUD) – Audiologist, NPI 1568186021

KRISTIN LEIGH WILLIFORD (AUD) is a healthcare provider. based in Morris, Illinois. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AUD. They hold a License No. 147.001919 (IL). The NPI Number for KRISTIN LEIGH WILLIFORD (AUD) is 1568186021

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN LEIGH WILLIFORD (AUD)
NPI
1568186021
Phone
(815) 941-4700
Address
119 E JEFFERSON ST
Enumeration Date
28 September 2022
Last Update Date
23 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8159414700
Graduation Year
2022 (4 years ago)
PAC ID
5698139053
Group Practice PAC ID
2769407162
Professional Enrollment ID
I20230919000503
Address ID
IL604508218MO3605X47XX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Digital endpointsOther names

401 QUALIFIED AUDIOLOGIST in IL

Provider Addresses for KRISTIN LEIGH WILLIFORD (AUD)

  • 119 E JEFFERSON ST

    MORRIS, IL 604502101

    Phone: (815) 941-4700

    Fax: (815) 941-0493

    Type: Mailing

  • 3605 N STATE ROUTE 47 STE F

    MORRIS, IL 604508218

    Phone: (815) 941-4700

    Fax: (815) 941-0493

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-09-19

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
I20230919000503IQualified AudiologistILTBD

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
92557Comprehensive hearing and speech recognition test2020$0
View full utilization report →

Insurance plans in this area (ZIP 60450)

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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: 2769407162View full group profile
NameSpecialtyState
Qualified AudiologistIL

Reviews

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Frequently asked questions

What is the registry number for KRISTIN LEIGH WILLIFORD (AUD)?
The registry entry for KRISTIN LEIGH WILLIFORD (AUD) shows NPI 1568186021.
Is KRISTIN LEIGH WILLIFORD (AUD)'s NPI status active today?
Active status means KRISTIN LEIGH WILLIFORD (AUD)'s NPI record is not deactivated in the public file.
What type of care does KRISTIN LEIGH WILLIFORD (AUD) provide?
KRISTIN LEIGH WILLIFORD (AUD)'s profile centers on Audiologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KRISTIN LEIGH WILLIFORD (AUD)?
KRISTIN LEIGH WILLIFORD (AUD) is associated with Morris, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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