Kirby Medical Center

Organization Active NPI Critical Access Hospital · Monticello, IL

NPI 1730179847 · NPPES record last updated Jun 1, 2026

Key facts

NPI
1730179847
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
0002758 (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
Organization subpart
No

Authorized official

Name
Jennifer Moss
Title
Ceo
Phone
(217) 762-1501

Owners & managing parties with NPI records 8

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

Owned or controlled facilities with NPI records 5

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

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 7

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

Corporate family (same tax ID) 4

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

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

Practitioners 159

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 159

Affiliated clinicians 160

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

View all 160

Medicare Care Compare: Hospital

Listed as
Kirby Medical Center CCN 141301
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

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
Corporation · Non-profit
Enrollment address
1000 Medical Center Dr
Monticello, IL 61856-2116
Other Hospital Practice Location

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

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 Center
Monticello, IL · CCN 14Z301
Hospital Other Sep 15, 1992
Atwood Rural Health Clinic
Atwood, IL · CCN 143438
Rural health clinic Other Sep 15, 1992
Kirby Medical Group
Monticello, IL · CCN 143495
Rural health clinic Other Sep 15, 1992
Cerro Gordo Rural Health Clinic
Cerro Gordo, IL · CCN 148566
Rural health clinic Other Sep 15, 1992

Medicare enrollment records

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

National Provider Directory

Tax ID family
John and Mary E Kirby E (5 organizations share this tax ID)

Locations

2 Sage Dr
Ste A
Monticello, IL 61856

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 0002758 IL Yes

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

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

Other providers in Monticello, IL

All providers in Monticello, IL · Critical Access Hospital in Illinois

Sources for this page

Verify at the official NPI Registry.