KIMBERLEY LYNN YASMINE (DO) – Family Medicine Physician, NPI 1710367479
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,052 FAMILY PRACTICE in IL
Provider Addresses for KIMBERLEY LYNN YASMINE (DO)
5201 Willow Springs Rd
2ND FLOOR
LA Grange Highlands, IL 605256537
Phone: (708) 245-8900
Fax: (708) 245-5604
Type: Location
5201 WILLOW SPRINGS RD
2ND FLOOR
LA GRANGE HIGHLANDS, IL 605256537
Phone: (708) 245-8900
Fax: (708) 245-5604
Type: Mailing
250 N SHADELAND AVE
INDIANAPOLIS, IN 462194959
Phone:
Type: Mailing
1375 N GREEN ST STE 100
BROWNSBURG, IN 461128734
Phone: (317) 852-2251
Type: Location
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: 2021-08-11
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20210811000965 | I | Family Practice | IN | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 54 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $0 |
| G0008 | Administration of influenza virus vaccine | 19 | 17 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 18 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 60525)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | IN | |
| A N E S T H E S I O L O G Y | IN | |
| A N E S T H E S I O L O G Y | OH | |
| Otolaryngology, Plastic And Reconstructive Surgery | IN | |
| A N E S T H E S I O L O G Y | KY | |
| Anesthesiology Assistant | IN | |
| Emergency Medicine, Pediatric Medicine | IN | |
| General Surgery | IN | |
| Neurology, Epileptologists | IN | |
| U R O L O G Y | OH |
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