KRISTIN E NIMBLEY (P.A.-C) – Surgical Physician Assistant, NPI 1588845366
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for KRISTIN E NIMBLEY (P.A.-C)
Jewel-Osco, 7900, North Milwaukee Avenue, Niles, Cook County, Illinois, 60714, United States
SUITE 17
NILES, IL 607143159
Phone: (847) 470-0297
Fax: (847) 470-0302
Type: Mailing
880 W CENTRAL RD STE 5000
ARLINGTON HEIGHTS, IL 600052355
Phone: (847) 618-3800
Fax: (847) 618-3809
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $334.
Total Amount is formed as General ($334) + Research ($0) + Ownership ($0) = $334.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Boston Scientific Corporation ($96).
Total Amount
$334
General + Research + Ownership
Payments
17
Total payment records
General Amount
$334
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $96 |
| 180 Medical, Inc. | $55 |
| Teleflex LLC | $53 |
| LeMaitre Vascular, Inc. | $30 |
| Halozyme Inc | $29 |
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: 2008-06-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080606000427 | I | Physician Assistant | IL | 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 60714)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| N E U R O L O G Y | IL | |
| Hospitalist, Internal Medicine | IL | |
| O P H T H A L M O L O G Y | IL | |
| - | IL | |
| E N D O C R I N O L O G Y | IL | |
| Internal Medicine | IL | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | IL | |
| Diagnostic Radiology | IL |
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