Kimberley Donald, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209013092 Issued in IL

Practice address

1929 10TH Ave E
Milan, IL 61264-2953

Phone

(309) 787-2600

Fax

(309) 787-2643

NPI assigned

Aug 17, 2015

Last updated

Nov 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

University of Iowa, RJ & L Carver College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Digestive Disease Specialists PCGroup PAC ID 7618142183, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
• Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
• Trinity Muscatine Hospital, Muscatine, IA, CCN 160013

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Digestive Disease Specialists PC

  • Gastroenterology Physician
  • Moline, IL
  • NPI 1891077160

  IA

  Medicare reassignment Care Compare group NPD
• Physicians Immediate Care North Chicago LLC

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1205814118
  Medicare reassignment NPD
• Kidney Specialists, PC

  • Nephrology Physician
  • Bettendorf, IA
  • NPI 1598935488
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  dba Northwestern Medicine Central Dupage Hospital

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation
• Genesis Health System

  dba Genesis Medical Center - Silvis

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  Care Compare affiliation
• Trinity Medical Center

  dba Trinity Rock Island

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation
• Unity Healthcare

  dba Trinity Muscatine

  • General Acute Care Hospital
  • Muscatine, IA
  • NPI 1861444333
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1245606946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642953",
            "telephone_number": "309-787-2600",
            "fax_number": "309-787-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 10TH AVE E",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "612642953",
            "telephone_number": "309-787-2600",
            "fax_number": "309-787-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALD",
        "first_name": "KIMBERLEY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Sue Buckrop, DC CHIROPRACTOR
• Raymond A Burge, DC
• Mudassar Ikram Buttar, PHARMD
• Charles C Gerleman D C P C
• Coyne Center Fire Protection and EMS District
• Elsa Ellena Durr-Baxter, NP
• Ewen Chiropractic LLC
• Susan Emily Ewen, D.C.
• Andrew Garrison, LCPC
• Kathryn Greer, RDN, LDN

• Family Nurse Practitioner in Milan, IL
• Providers in Milan, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.