Kimberly J Mitchell, - Medicare Nurse Practitioner in East Saint Louis, IL

Kimberly J Mitchell, is a medicare enrolled "Nurse Practitioner - Family" in East Saint Louis, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osh-il Physicians Group Llc and her current practice location is 2420 State St, East Saint Louis, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 318-8809.

Kimberly J Mitchell is licensed to practice in Illinois (license number 209.018150) 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 1700350170.

Contact Information

Kimberly J Mitchell,
2420 State St,
East Saint Louis, IL 62205-2321
(618) 318-8809
(618) 615-4205

Map and Direction




Provider's Profile

Full NameKimberly J Mitchell
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location2420 State St, East Saint Louis, 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:
  • Kimberly J Mitchell graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1700350170
  • Provider Enumeration Date: 01/18/2019
  • Last Update Date: 02/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507293792
  • Enrollment ID: I20200330001071

Medical Identifiers

Medical identifiers for Kimberly J Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700350170NPI-NPPES
2019026962OtherMOSTATE LICENSE MO
209.018150OtherIL.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209018150 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 209.018150 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osh-il Physicians Group Llc38708776993

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. Kimberly J Mitchell allows following entities to bill medicare on her behalf.
Entity NameMidwest Post Acute Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083012074
PECOS PAC ID: 0143547117
Enrollment ID: O20150401000634
Entity NameOsh-il Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265977698
PECOS PAC ID: 3870877699
Enrollment ID: O20170222002860

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. Kimberly J Mitchell 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
Kimberly J Mitchell,
Po Box 746096,
Atlanta, GA 30374-6096

Ph: (312) 733-9730
Kimberly J Mitchell,
2420 State St,
East Saint Louis, IL 62205-2321

Ph: (618) 318-8809

Reviews and Comments


Nurse Practitioner Nurses in East Saint Louis, IL

Mrs. Tina Teresa Mond, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 N 8th St Ste 120, East Saint Louis, IL 62201
Phone: 618-274-9105    Fax: 618-274-9101
Yolanda L Hoag, ACNPC-AG
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2001 State St, East Saint Louis, IL 62205
Phone: 618-271-9191    Fax: 618-271-9617
Stephanie Michelle Tate-patterson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4901 State St, East Saint Louis, IL 62205
Phone: 618-646-3700    
Kayla Ann Pryor, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2001 State St, East Saint Louis, IL 62205
Phone: 618-271-0204    
Mrs. Donna Marie Wiley, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2420 State St, East Saint Louis, IL 62205
Phone: 618-318-8809    Fax: 618-615-4205
Ms. Latisha Trenice Stennis, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8106 Carol Dr, East Saint Louis, IL 62203
Phone: 618-558-0920    
Mrs. Virginia L Behrhorst, BC APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 601 James R Thompson Blvd, Building D 2015, East Saint Louis, IL 62201
Phone: 618-482-6959    Fax: 618-482-8311

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.