Individual provider Active NPI

Kimberly M Quinn

  • Family Nurse Practitioner
  • Oneida, NY
National Provider Identifier
1720752264
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348019 Issued in NY
Practice address
109 Genesee St
Oneida, NY 13421-2703
Phone
(315) 231-5530
NPI assigned
Aug 8, 2021
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348019 NY Primary
Family Nurse Practitioner 363LF0000X SP031189 PA

Addresses

Primary practice location

109 Genesee St
Oneida, NY 13421-2703

Mailing address

117 Life Ave
Sherrill, NY 13461-1418
Phone (315) 404-4903

Other practice location 1

117 Life Ave
Sherrill, NY 13461-1418
Phone (315) 404-4903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, IL, IN, PA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20211019000355 NY Practitioner - Nurse Practitioner 6305234691 Reassigns benefits to 1 organization
I20230622000370 MI Practitioner - Nurse Practitioner 6305234691 Reassigns benefits to 2 organizations
I20240719001529 IL Practitioner - Nurse Practitioner 6305234691 Reassigns benefits to 2 organizations
I20241029001385 IN Practitioner - Nurse Practitioner 6305234691 Reassigns benefits to 1 organization
I20241127003295 PA Practitioner - Nurse Practitioner 6305234691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

1245 E Ireland Rd
Suite B
South Bend, IN 46614-3448
Phone (574) 312-7022

13448 Cicero Ave
Crestwood, IL 60418-1430
Phone (708) 682-3384

2322 Route 34
Oswego, IL 60543-7132
Phone (630) 383-7042

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

4211 N Cicero Ave
Chicago, IL 60641-1651
Phone (773) 794-1000

5228 N Northwest Hwy
Chicago, IL 60630-4620
Phone (773) 770-4707

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

800 W Plainfield Rd
Countryside, IL 60525-3745
Phone (708) 298-0543

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
348019NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Immediate Care North Chicago LLC CurrentSince Jul 1, 2024 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Aug 6, 2021 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Pic Indiana PC CurrentSince Sep 1, 2024 Accepting new patients
Wellnow Urgent Care Practice, PC PastSince Jan 13, 2025 Accepting new patients

Locations

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1840 N Richmond Rd
McHenry, IL 60051
Phone (779) 704-3075

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

1113 W 7th St
Auburn, IN 46706
Phone (260) 909-5163

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617

1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

1245 E Ireland Rd
#B
South Bend, IN 46614
Phone (574) 312-7022

2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

446 Fairview Ave
Ste 200
Hudson, NY 12534
Phone (518) 267-3496

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

109 Genesee St
Oneida, NY 13421
Phone (315) 231-5530

26 Bolivar Dr
Bradford, PA 16701
Phone (814) 817-4690

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1720752264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LIFE AVE",
            "city": "SHERRILL",
            "state": "NY",
            "postal_code": "134611418",
            "telephone_number": "315-404-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212703",
            "telephone_number": "315-231-5530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Life Ave",
            "address_purpose": "LOCATION",
            "city": "Sherrill",
            "state": "NY",
            "postal_code": "134611418",
            "country_code": "US",
            "telephone_number": "315-404-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348019",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.