Individual provider Active NPI

Kimberly Raye Barker- Price, APRN, AGPCNP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1639794084
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
277.004826 Issued in IL
Practice address
1950 W Polk St
Chicago, IL 60612-3723
Phone
(312) 864-6000
NPI assigned
Jun 11, 2020
Last updated
Feb 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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 277.004826 IL Primary
Gerontology Nurse Practitioner 363LG0600X 277.004826 IL

Addresses

Primary practice location

1950 W Polk St
Chicago, IL 60612-3723

Mailing address

1206 S 14TH Ave
Maywood, IL 60153-1835
Phone (708) 540-3256

Other names 1

  • Ms. Kimberly Raye Barker 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
I20221108000106 IL Practitioner - Nurse Practitioner 4082081831 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cook CountyGroup PAC ID 2860398088, 770 clinicians

Practice addresses (Care Compare)

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
277.004826ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Numatrx Medical PLLC Current Accepting new patients
Vitae Health Medical Illinois, PLLC CurrentSince Sep 15, 2022 Accepting new patients
Cook County Current Accepting new patients
Cook County CurrentSince Dec 11, 2024 Accepting new patients
Cook County CurrentSince Dec 11, 2024 Accepting new patients
Circle Medical Care Group PA CurrentSince Apr 14, 2025 Accepting new patients
John H Stroger Jr Hospital Cook County Past Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

5905 W Washington Blvd
Ste 1200
Chicago, IL 60644
Phone (773) 261-7074

21660 W Field Pkwy
Deer Park, IL 60010
Phone (312) 620-1803

3450 Oakton St
Ste 300
Skokie, IL 60076

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1639794084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 S 14TH AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601531835",
            "telephone_number": "708-540-3256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W POLK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123723",
            "telephone_number": "312-864-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER- PRICE",
        "first_name": "KIMBERLY",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "credential": "APRN,  AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-11",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "277.004826",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IL",
            "license": "277.004826",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BARKER",
            "middle_name": "RAYE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.