Individual provider Active NPI

Kimberly D Zito, APN

  • Family Nurse Practitioner
  • West Dundee, IL
National Provider Identifier
1255985164
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209019165 Issued in IL
Practice address
979 W Main St
West Dundee, IL 60118-2088
Phone
(224) 802-2680
NPI assigned
Jul 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209019165 IL Primary

Addresses

Primary practice location

979 W Main St
West Dundee, IL 60118-2088

Mailing address

29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kzito312505@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210813002024 IL Practitioner - Nurse Practitioner 0547692915 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Lake Immediate Care Physicians LTD.Group PAC ID 2961783139, 17 clinicians

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

4847 Hoffman Blvd
Hoffman Estates, IL 60192-3722
Phone (847) 685-4646

525 E Congress Pkwy
Suite 100
Crystal Lake, IL 60014-6271
Phone (626) 327-6795

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corporation CurrentSince Aug 2, 2021 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 21, 2021 Accepting new patients
Crystal Lake Immediate Care Physicians LTD. CurrentSince Apr 1, 2023 Accepting new patients
Tri-County Emergency Physicians, LTD CurrentSince Apr 1, 2023 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 2, 2021 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

525 E Congress Pkwy
Ste 100
Crystal Lake, IL 60014
Phone (626) 327-6795

450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123

979 W Main St
Ste 201
West Dundee, IL 60118
Phone (800) 323-1743

979 W Main St
West Dundee, IL 60118
Phone (224) 802-2680

Interoperability endpoints

  • Direct secure messaging: kzito312505@direct.myadvocateaurora.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1255985164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731293",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "979 W MAIN ST",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601182088",
            "telephone_number": "224-802-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITO",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-29",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kzito312505@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "979 W Main St",
            "city": "West Dundee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601182088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "979 W Main St",
            "city": "West Dundee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601182088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

Verify at the official NPI Registry.