Judi Kittle Forner, - Medicare Nurse Practitioner in Mchenry, IL

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Judi Kittle Forner, is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Mchenry, Illinois. She graduated from nursing school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osf Multi-specialty Group and her current practice location is 4309 W Medical Center Dr Ste A200, Mchenry, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 759-8070.

Judi Kittle Forner is licensed to practice in Illinois (license number 209010514) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194123679.

Contact Information

Judi Kittle Forner,
4309 W Medical Center Dr Ste A200,
Mchenry, IL 60050
(815) 759-8070
(815) 759-4931

Map and Direction




Provider's Profile

Full NameJudi Kittle Forner
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location4309 W Medical Center Dr Ste A200, Mchenry, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Judi Kittle Forner graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1194123679
  • Provider Enumeration Date: 12/15/2014
  • Last Update Date: 10/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3577848035
  • Enrollment ID: I20170323001908

Medical Identifiers

Medical identifiers for Judi Kittle Forner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194123679NPI-NPPES
209010514OtherILSTATE LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SA2200XClinical Nurse Specialist - Adult Health 209010514 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osf Saint Anthony Medical CenterRockford, ILHospital
Rochelle Community HospitalRochelle, ILHospital
Osf Saint Paul Medical CenterMendota, ILHospital
Katherine Shaw Bethea HospitalDixon, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891848

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Judi Kittle Forner allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Judi Kittle Forner is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Judi Kittle Forner,
4309 W Medical Center Dr Ste A200,
Mchenry, IL 60050-8437

Ph: (815) 759-8070		Judi Kittle Forner,
4309 W Medical Center Dr Ste A200,
Mchenry, IL 60050

Ph: (815) 759-8070

Reviews and Comments


Clinical Nurse Specialist Nurses in Mchenry, IL

Joan Rembacz, RN, APN, CCNS, CCRN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050
Phone: 815-759-4015    Fax: 815-759-4110
Jill C Benedeck, APRN, CNS
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 4305 W Medical Center Dr, Mchenry, IL 60050
Phone: 815-344-8000    Fax: 815-344-9601

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.