Kimberly A Kish, APN, CNP - Medicare Nurse Practitioner in Decatur, IL

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Kimberly A Kish, APN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Illinois. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Decatur Memorial Hospital and her current practice location is 2880 N Monroe St, Decatur, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 330-8939.

Kimberly A Kish is licensed to practice in Illinois (license number 209009873) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023360419.

Contact Information

Kimberly A Kish, APN, CNP
2880 N Monroe St,
Decatur, IL 62526-3269
(217) 330-8939
(217) 330-9063

Map and Direction




Provider's Profile

Full NameKimberly A Kish
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location2880 N Monroe St, Decatur, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly A Kish graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1023360419
  • Provider Enumeration Date: 10/09/2012
  • Last Update Date: 08/24/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9436303724
  • Enrollment ID: I20130214000528

Medical Identifiers

Medical identifiers for Kimberly A Kish such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023360419NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209009873 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Decatur Memorial HospitalDecatur, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Decatur Memorial Hospital6204731144135

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly A Kish allows following entities to bill medicare on her behalf.
Entity NameDecatur Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164477725
PECOS PAC ID: 6204731144
Enrollment ID: O20031203000685
Entity NameVitalskin Medical Group Il Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063030252
PECOS PAC ID: 5991116261
Enrollment ID: O20201118002083

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly A Kish is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly A Kish, APN, CNP
2880 N Monroe St,
Decatur, IL 62526-3269

Ph: (217) 330-8939		Kimberly A Kish, APN, CNP
2880 N Monroe St,
Decatur, IL 62526-3269

Ph: (217) 330-8939

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.