John & Mary E Kirby Hospital

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

JOHN & MARY E KIRBY HOSPITAL

Practice address

1000 Medical Center Dr
Monticello, IL 61856-2116

Phone

(217) 762-2115

Fax

(217) 762-1542

NPI assigned

Nov 1, 2005

Last updated

Jun 16, 2026By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Kirby Medical Center

  • Family Medicine Physician
  • Monticello, IL
  • NPI 1386635373

  O20050801000320

  Same enrollment

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1952392771",
    "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": "217-762-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN & MARY E KIRBY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "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": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon J Hissong, DMD
• Evelyn Huang, MD
• Mark Raymond Hudson, D.M.D.
• Illini Eyecare Monticello Inc
• David M Jahn, PAC
• Curtis E Johnson, OD
• Madelynn Ann Kallembach, ATC
• Lisa F Kamm, RN CRNA LD
• Kirby Medical Center
• Kirby Medical Center

• Physician Assistant in Monticello, IL
• Providers in Monticello, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.