Active NPI
Kimberly M Starr, APN
- Family Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.015193
- Practice address
- 444 Roxbury Rd
Rockford, IL 61107-5059 - Phone
- (815) 395-5163
- Fax
- (815) 847-5869
- NPI assigned
- Dec 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 209015193 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209.015193 | IL | Primary |
Addresses
Primary practice location
444 Roxbury Rd
Rockford, IL 61107-5059
Mailing address
PO Box 78866
Milwaukee, WI 53278-8866
Phone (779) 696-7150
Other practice location 1
2550 Hauser Ross Drive
Suite 350
Sycamore, IL 60178-3180
Phone (815) 758-7700
Other practice location 2
1340 Charles St Ste 300
Rockford, IL 61104-2200
Phone (779) 696-5888
Other names 1
- Kimberly M Harris
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5666 E State St
Rockford, IL 61108-2425
Phone (815) 921-8929
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.7 of 100
- Quality
- 69.77
- Improvement activities
- 40
- Cost
- 67.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.015193 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients |
Locations
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
444 Roxbury Rd
#12471
Rockford, IL 61107
444 Roxbury Rd
Rockford, IL 61107
Phone (815) 395-9196
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1306380555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 78866",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532788866",
"telephone_number": "779-696-7150",
"fax_number": "779-696-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 ROXBURY RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611075059",
"telephone_number": "815-395-5163",
"fax_number": "815-847-5869"
}
],
"practiceLocations": [
{
"address_1": "2550 Hauser Ross Drive",
"address_2": "Suite 350",
"address_purpose": "LOCATION",
"city": "Sycamore",
"state": "IL",
"postal_code": "601783180",
"country_code": "US",
"telephone_number": "815-758-7700",
"fax_number": "815-756-6103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1340 Charles St Ste 300",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611042200",
"country_code": "US",
"telephone_number": "779-696-5888",
"fax_number": "779-696-5898",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STARR",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-07",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "IL",
"license": "209015193",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.015193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "HARRIS",
"middle_name": "M",
"credential": "APN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.