Individual provider Active NPI

Kimberly B St. John, NP-C

  • Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1568820868
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277001320 Issued in IL
Practice address
929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone
(847) 285-4200
Fax
(847) 885-0130
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.012797 IL
Nurse Practitioner 363L00000X 277001320 IL Primary

Addresses

Primary practice location

929 W Higgins Rd
Schaumburg, IL 60195-3203

Mailing address

929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone (847) 285-4200

Other practice location 1

519 S Roselle Rd
Schaumburg, IL 60193-2925
Phone (847) 618-0535

Other practice location 2

1300 E Central Rd
Arlington Heights, IL 60005-2857
Phone (847) 870-6100

Other names 1

  • Kimberly Koski Former name

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
I20160223001318 IL Practitioner - Nurse Practitioner 7618272006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians
Barrington Orthopedic Specialists LTDGroup PAC ID 5294636841, 61 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

455 S Roselle Rd
Schaumburg, IL 60193-2971
Phone (847) 985-0600

929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone (847) 285-4200

Hospital & facility affiliations

  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.012797ILMDNurse Practitioner
277001320ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group CurrentSince Jun 7, 2024 Accepting new patients
Orthomidwest, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Barrington Orthopedic Specialists LTD Nurse Practitioner CurrentSince Aug 10, 2025 Accepting new patients
Orthomidwest, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 7, 2024 Accepting new patients

Locations

864 W Stearns Rd
Bartlett, IL 60103
Phone (847) 285-4200

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

519 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 618-0535

929 W Higgins Rd
Schaumburg, IL 60195
Phone (847) 285-4200

Interoperability endpoints

  • Direct secure messaging: kimberly.st.john.1@15581.direct.athenahealth.com
  • Direct secure messaging: kstjohn145725@direct.nch.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 2

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": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1568820868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953203",
            "telephone_number": "847-285-4200",
            "fax_number": "847-885-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953203",
            "telephone_number": "847-285-4200",
            "fax_number": "847-885-0130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "519 S Roselle Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601932925",
            "country_code": "US",
            "telephone_number": "847-618-0535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 E Central Rd",
            "address_purpose": "LOCATION",
            "city": "Arlington Heights",
            "state": "IL",
            "postal_code": "600052857",
            "country_code": "US",
            "telephone_number": "847-870-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. JOHN",
        "first_name": "KIMBERLY",
        "middle_name": "B",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.012797",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277001320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KOSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.