Kimberly K Mulholland, ARNP - Medicare Nurse Practitioner in Fulton, IL

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Kimberly K Mulholland, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Fulton, Illinois. She graduated from nursing school in 2000 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mercy Specialty Clinic and her current practice location is 1705 16th Ave, Fulton, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 589-2121.

Kimberly K Mulholland is licensed to practice in Illinois (license number 041-300155) 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 1730131160.

Contact Information

Kimberly K Mulholland, ARNP
1705 16th Ave,
Fulton, IL 61252-9708
(815) 589-2121
(815) 589-4468

Map and Direction




Provider's Profile

Full NameKimberly K Mulholland
GenderFemale
SpecialityNurse Practitioner
Experience25 Years
Location1705 16th Ave, Fulton, 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 K Mulholland graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1730131160
  • Provider Enumeration Date: 05/16/2006
  • Last Update Date: 03/15/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 4183711716
  • Enrollment ID: I20101012000194

Medical Identifiers

Medical identifiers for Kimberly K Mulholland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730131160NPI-NPPES
09822109OtherILBC/BS
152962OtherIOWA HEALTH SOLUTIONS
IA0190OtherJOHN DEERE HEALTH
058573OtherHEALTH ALLIANCE
19346OtherMIDLANDS CHOICE
28956OtherIAWELLMARK BC/BS
1441170MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A-088981 (Iowa)Secondary
363LF0000XNurse Practitioner - Family 041-300155 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercyone Clinton Home Care & HospiceClinton, IAHome health agency
Mercyone Clinton Medical CenterClinton, IAHospital
Genesis Medical Center-davenportDavenport, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy Specialty Clinic337563958661

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 K Mulholland allows following entities to bill medicare on her behalf.
Entity NameMercy Specialty Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386832764
PECOS PAC ID: 3375639586
Enrollment ID: O20071019000139

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 K Mulholland 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 K Mulholland, ARNP
915 13th Ave N,
Clinton, IA 52732-5067

Ph: (563) 243-2511		Kimberly K Mulholland, ARNP
1705 16th Ave,
Fulton, IL 61252-9708

Ph: (815) 589-2121

Reviews and Comments


Nurse Practitioner Nurses in Fulton, IL

Lynne M Coffey, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1130 17th St Ste B, Fulton, IL 61252
Phone: 815-589-2005    Fax: 815-632-5975
Adrianna Vanduyne, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1705 16th Ave, Fulton, IL 61252
Phone: 563-243-2511    
Stephanie G Holesinger, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1705 16th Ave, Fulton, IL 61252
Phone: 815-589-2121    Fax: 815-589-4468

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.