Individual provider Active NPI

Kylie L Garbe, APRN, FNP-C

  • Nurse Practitioner
  • Olney, IL
National Provider Identifier
1932684313
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209018029 Issued in IL
Practice address
1120 N East St
Olney, IL 62450-6927
Phone
(618) 395-5222
Fax
(618) 395-8552
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209018029 IL Primary

Addresses

Primary practice location

1120 N East St
Olney, IL 62450-6927

Mailing address

1120 N East St
Olney, IL 62450-6927
Phone (618) 395-5222

Other practice location 1

25 W Lincoln Ave
Charleston, IL 61920-3070
Phone (217) 345-9600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kylie.garbe.1@9559.direct.athenahealth.com Direct

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
I20181120000320 IL Practitioner - Nurse Practitioner 2860746328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1120 N E St
Olney, IL 62450-6927
Phone (618) 395-5222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209018029ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Southern Illinois Healthcare Foundation, Inc. CurrentSince Jul 15, 2019 Accepting new patients
Back to Health Physicians Group LTD CurrentSince Oct 22, 2018 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jul 15, 2019 Accepting new patients

Locations

25 W Lincoln Ave
Charleston, IL 61920
Phone (217) 345-9600

302 N Mill St
Greenup, IL 62428
Phone (217) 923-3311

1120 N East St
Olney, IL 62450
Phone (618) 395-5222

1200 N East St
Olney, IL 62450
Phone (618) 392-2940

Interoperability endpoints

  • Direct secure messaging: kylie.garbe.1@9559.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1932684313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N EAST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624506927",
            "telephone_number": "618-395-5222",
            "fax_number": "618-395-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N EAST ST",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624506927",
            "telephone_number": "618-395-5222",
            "fax_number": "618-395-8552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "IL",
            "postal_code": "619203070",
            "country_code": "US",
            "telephone_number": "217-345-9600",
            "fax_number": "217-345-3045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARBE",
        "first_name": "KYLIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209018029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kylie.garbe.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1200 N East St",
            "city": "Olney",
            "state": "IL",
            "country_code": "US",
            "postal_code": "62450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olney, IL

Sources for this page

Verify at the official NPI Registry.