NPIMap

Organization Active NPI

Kirby Medical Center

  • Critical Access Hospital
  • Monticello, IL
National Provider Identifier
1730179847
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
0002758 Issued in IL
Legal business name
KIRBY MEDICAL CENTER
Practice address
1000 Medical Center Dr
Monticello, IL 61856-2116
Phone
(217) 762-2115
Fax
(217) 762-1531
NPI assigned
Oct 28, 2005
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) 762-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0002758 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

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
Practice locations: Monticello, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730179847. 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 with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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.

Locations

2 Sage Crossing Blvd
Ste A
Monticello, IL 61856
Phone (217) 817-8517

2 Sage Dr
Ste A
Monticello, IL 61856

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 8

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

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kirby Medical CenterMonticello, IL, CCN 14Z301 Hospital Other Sep 15, 1992
Atwood Rural Health ClinicAtwood, IL, CCN 143438 Rural health clinic Other Sep 15, 1992
Kirby Medical GroupMonticello, IL, CCN 143495 Rural health clinic Other Sep 15, 1992
Cerro Gordo Rural Health ClinicCerro Gordo, IL, CCN 148566 Rural health clinic Other Sep 15, 1992

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 118

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 118

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": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780272000000",
    "number": "1730179847",
    "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": "217-762-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRBY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "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": "217-762-1501"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": "0002758",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": []
}

Other providers in Monticello, IL

Sources for this page

Verify at the official NPI Registry.