NPIMap

Organization Active NPI

Kirby Medical Center

Doing business as Kirby Ambulance

  • Land Ambulance
  • Monticello, IL
National Provider Identifier
1598869133
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
66768 Issued in IL
Legal business name
KIRBY MEDICAL CENTER
Doing business as
Kirby Ambulance
Practice address
1000 Medical Center Dr
Monticello, IL 61856-2116
Phone
(217) 762-2115
Fax
(217) 762-1502
NPI assigned
Sep 12, 2006
Last updated
Jun 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Authorized official

Name
Jennifer Moss
Title
Ceo
Phone
(217) 760-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 66768 IL Primary

Addresses

Primary practice location

1000 Medical Center Dr
Monticello, IL 61856-2116

Mailing address

1000 Medical Center Dr
Monticello, IL 61856-2116
Phone (217) 762-2115

Other identifiers 1

IdentifierTypeStateIssuer
0002758OtherILSTATE LICENSE NUMBER

Other names 1

  • Kirby Ambulance Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kirbyhim@kmc.kirbymedicalcenter.net Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419000531 IL Part A Provider - Critical Access Hospital 6901791144 Receives reassigned benefits from 116 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Monticello, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598869133. Details of each certification follow.

Hospital certification: CCN 141301

Legal name
KIRBY MEDICAL CENTER
Doing business as
KIRBY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 8, 1999
Last certification
Jan 15, 2009
Beds
16
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1000 Medical Center Dr
Monticello, IL 61856-2116
Other Hospital Practice Location

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Kirby Medical CenterCCN 141301 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
John and Mary E Kirby E5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Atwood Individual Corporate DirectorBoard Member Nov 1, 2017
Shannon Williams Individual Corporate DirectorDirector, Patient Financial Serv Sep 5, 2013
Charles Scott Wilkin Individual Corporate DirectorBoard Member Sep 26, 2023
Michelle Gross Individual Corporate DirectorTreasurer of the Board Nov 6, 2017
Thomas Scaggs Individual Corporate DirectorBoard Member Nov 6, 2023
Jennifer Moss Individual Corporate DirectorCeo Apr 6, 2026
Operational/Managerial ControlCeo Apr 6, 2026
Kandace Heistand Individual W-2 Managing Employee Apr 8, 2025
David Brown Individual Corporate DirectorBoard Member Feb 1, 2021
Gary Huisinga Individual Corporate DirectorChairman of the Board Jan 1, 1994
Luke Feeney Individual Corporate DirectorBoard Member Sep 1, 2020
Karla L Bradley Individual Corporate DirectorVice Chair of the Board Jan 17, 2014
David M Remmert Individual Corporate DirectorBoard Member Nov 1, 2021
Kirby Medical Center Organization, Monticello, IL Corporation, Non-profit Other Sep 15, 1992
Kimberly Ann Alvis Individual Corporate OfficerCfo Jul 16, 2018
W-2 Managing Employee Jul 16, 2018
Stacy Poundstone Individual Corporate DirectorDirector, Health Information Ser Jun 9, 1987

Owners & managing parties with NPI records 9

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 72

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 72

Affiliated clinicians 160

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 160

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1598869133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618562116",
            "telephone_number": "217-762-2115",
            "fax_number": "217-762-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER DR",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618562116",
            "telephone_number": "217-762-2115",
            "fax_number": "217-762-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-760-1501"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "66768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "0002758",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kirbyhim@kmc.kirbymedicalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1000 Medical Center Dr",
            "city": "Monticello",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618562116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kirby Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kirby Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, IL

Sources for this page

Verify at the official NPI Registry.