Kimberly Danner, NP
Individual provider Active NPI Family Nurse Practitioner · Auburn, IL
NPI 1043860299 · NPPES record last updated Sep 18, 2019
Key facts
- NPI
- 1043860299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.020046 (IL)
- Practice address
- 507 Red Bud LN
Auburn, IL 62615-9357 - Phone
- (217) 494-9402
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Post Acute Medical PLLC
Practice addresses (Care Compare)
3354 Jerome LN
Cahokia, IL 62206-2604
Phone (877) 883-9430
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200121000146 | IL | Practitioner - Nurse Practitioner | 1355776386 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.020046 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Medical PLLC | Current |
Accepting new patients | |
| Altea Medical Illinois PLLC | Current |
Accepting new patients | |
| Midwest Post Acute Care PLLC | Current |
Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437
490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444
3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400
1101 E State St
Geneva, IL 60134
Phone (630) 208-1876
1021 N Church St
Jacksonville, IL 62650
Phone (217) 245-0894
555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.020046 | IL | Yes |
Addresses
Primary practice location
507 Red Bud LN
Auburn, IL 62615-9357
Mailing address
507 Red Bud LN
Auburn, IL 62615-9357
Phone (217) 494-9402
Other providers in Auburn, IL
- Brandy Brown
- Clem Chiropractic Center
- Clem Chiropractic Center
- Christopher Erick Clem
- Melissa Anne Council
- Delivering Smiles LTD
- Gregory T Downs
- Kathryn A Fry
- Glen a Weisgerber MD SC
- Andrea R Graham
All providers in Auburn, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.