KIMBERLY SCOTT (APRN-BC) – Family Nurse Practitioner, NPI 1164972055
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,637 NURSE PRACTITIONER in IL
Loading map...
Provider Addresses for KIMBERLY SCOTT (APRN-BC)
8558 BROADWAY
MERRILLVILLE, IN 464107032
Phone: (219) 392-7084
Fax: (219) 703-6854
Type: Mailing
South Chicago Health Center, 9119, South Exchange Avenue, South Chicago, Chicago, Hyde Park Township, Cook County, Illinois, 60617, United States
CHICAGO, IL 606174225
Phone: (773) 768-5000
Type: Mailing
Chicago Family Health Center, 570, East 115th Street, Honeymoon Row, Pullman, Chicago, Hyde Park Township, Cook County, Illinois, 60628, United States
CHICAGO, IL 606285740
Phone: (773) 768-5000
Type: Location
9112 COLUMBIA AVE
MUNSTER, IN 463212925
Phone: (219) 836-5040
Fax: (219) 836-6835
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $42.
Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.
Last reported payment date: 2023-11-07 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($22).
Total Amount
$42
General + Research + Ownership
Payments
3
Total payment records
General Amount
$42
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $22 |
| Organon LLC | $19 |
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: 2024-10-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20161020000810 | I | Nurse Practitioner | IL | TBD |
| I20241023002211 | I | Nurse Practitioner | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 46410)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | TX | |
| Nurse Practitioner | IL | |
| Internal Medicine, Geriatric Medicine | IL | |
| - | IL | |
| Clinical Psychologist | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.