KIMBERLY A SIVERTSEN – Nurse Practitioner, NPI 1891054060

KIMBERLY A SIVERTSEN is a healthcare provider. based in Chicago, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209009515 (IL). The NPI Number for KIMBERLY A SIVERTSEN is 1891054060

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY A SIVERTSEN
NPI
1891054060
Phone
(888) 824-0200
Address
5841 S Maryland Ave
Enumeration Date
9 May 2012
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
6082636400
Graduation Year
2011 (15 years ago)
PAC ID
9638327356
Group Practice PAC ID
6608785464
Professional Enrollment ID
I20240731004780
Address ID
WI537920001MA600XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
kgottliebapn43547@uchospital.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

11,637 NURSE PRACTITIONER in IL

Provider Addresses for KIMBERLY A SIVERTSEN

  • 5841 S Maryland Ave

    Chicago, IL 606371443

    Phone: (888) 824-0200

    Type: Location

  • 5841 S MARYLAND AVE

    MC 6026

    CHICAGO, IL 606371447

    Phone: (773) 702-9660

    Fax: (773) 834-7068

    Type: Mailing

  • 7974 UW HEALTH CT

    MIDDLETON, WI 535625531

    Phone:

    Type: Mailing

  • 600 HIGHLAND AVE

    MADISON, WI 537921443

    Phone: (608) 263-7203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $636.

Total Amount is formed as General ($636) + Research ($0) + Ownership ($0) = $636.

Last reported payment date: 2023-12-11 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($141).

Total Amount

$636

General + Research + Ownership

Payments

19

Total payment records

General Amount

$636

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-11

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: 2024-07-31

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
I20240731004780INurse PractitionerWITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes12698$0
99214Established patient office or other outpatient visit, 30-39 minutes5048$0
99204New patient office or other outpatient visit, 45-59 minutes3333$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2520$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 60637)

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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: 6608785464View full group profile
NameSpecialtyState
-WI
-WI
Nurse PractitionerWI
Nurse PractitionerWI
Family PracticeWI
-WI
-WI
-WI
Endocrinology, Internal MedicineWI
Medical Oncology, Hematology/OncologyCA

Reviews

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Frequently asked questions

Does KIMBERLY A SIVERTSEN have a public NPI I can cite?
Public records show KIMBERLY A SIVERTSEN under NPI 1891054060.
Is KIMBERLY A SIVERTSEN's NPI status active today?
Active status means KIMBERLY A SIVERTSEN's NPI record is not deactivated in the public file.
What does the directory say KIMBERLY A SIVERTSEN does?
Insurance directories may phrase it differently, but here KIMBERLY A SIVERTSEN maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KIMBERLY A SIVERTSEN?
KIMBERLY A SIVERTSEN shows a connection to Chicago, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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