Kimberly Joan Grzesik, MS, RN, AGACNP-BC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

71015407A Issued in IN

Practice address

16450 S 97TH Ave
Orland Park, IL 60467-5587

Phone

(708) 403-6500

NPI assigned

Apr 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

99.78 of 100Reported as apm

Quality

90.69

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

State licenses

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.

• Illinois Veterans Home at Manteno

  • Physical Disabilities Residential Treatment Facility
  • Manteno, IL
  • NPI 1831248228
  Medicare reassignment NPD
• Longevity Clinical LTC Associates of Illinois PLLC

  • Primary Care Nurse Practitioner
  • Chicago, IL
  • NPI 1407422447

  Gerontology

  Medicare reassignment NPD

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1407381296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7745 COVENTRY LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232121",
            "telephone_number": "815-325-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16450 S 97TH AVE",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604675587",
            "telephone_number": "708-403-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRZESIK",
        "first_name": "KIMBERLY",
        "middle_name": "JOAN",
        "credential": "MS, RN, AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-28",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "71015407A",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209015536",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert K Griffin, PT
• John Peter Grigus III, D.D.S.
• Nina Gritzalis, PSYD
• Growing Further Coaching PLLC
• Brenda Grzenia
• Gary J Gunkel, DDS
• Lauren Marie Gute, PA-C
• H and G Transportation LLC
• Jayme Lynn Haas
• Karissa Habel-Small, LPC

• Gerontology Nurse Practitioner in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Gerontology Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.