Kristin Simerdla Doyle, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209014971 Issued in IL

Practice address

7270 W. College Dr. Ste 102
Palos Heights, IL 60463-1287

Phone

(708) 603-5980

Fax

(708) 589-9059

NPI assigned

Nov 22, 2016

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, AZ2 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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians

BHSM Rehabilitation LLCGroup PAC ID 2062773138, shared by 27 NPIs, 450 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093
• Pam Health Rehabilitation Hospital of Surprise Inpatient rehabilitation facility, Surprise, AZ, CCN 033039

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1659640902
  Medicare reassignment Care Compare group NPD
• Haveric Medical LTD

  • Internal Medicine Physician
  • Joliet, IL
  • NPI 1881624047
  Medicare reassignment NPD
• Mazen Abdel-Hadi, M.D., L.L.C.

  • Pulmonary Disease Physician
  • Burr Ridge, IL
  • NPI 1083273080
  Medicare reassignment NPD
• Premiere General Medicine S C

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1437584364
  Medicare reassignment NPD
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1790306066
  NPD
• Premiere General Medicine S C

  • Internal Medicine Physician
  • Palos Heights, IL
  • NPI 1851670566
  NPD (past)
• Banner Childrens Banner Health Clinic LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1407191216
  NPD (past)
• Banner Primary Care Physicians Arizona LLC

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1417238908
  NPD (past)

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

• Banner del E Webb Medical Center

  • General Acute Care Hospital
  • Sun City West, AZ
  • NPI 1588823553
  Care Compare affiliation
• Cobalt Rehabilitation Hospital IV

  • Rehabilitation Hospital
  • Surprise, AZ
  • NPI 1679954002

  Inpatient rehabilitation facility

  Care Compare affiliation

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1255874335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7270 W. COLLEGE DR",
            "address_2": "STE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-603-5980",
            "fax_number": "708-589-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7270 W. COLLEGE DR. STE 102",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631287",
            "telephone_number": "708-603-5980",
            "fax_number": "708-589-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "KRISTIN",
        "middle_name": "SIMERDLA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paresh Dixit, M.D.
• Bruce R Dolitsky, MD
• Amanda Nikol Donald
• Cheryl Donohue, MPT
• Shane J Doot, D.D.S.
• Dr Laura a Beaumont
• Dr Matthew E Schmidt & Associates Ophthalmologists S.C.
• Dr. Almasri and Associates Inc.
• Dr. Matthew E. Schmidt & Associates Ophthalmologists S.C.
• Dr. Phillip F. Morreale P.C.

• Family Nurse Practitioner in Palos Heights, IL
• Providers in Palos Heights, 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 Dec 13, 2021; 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.