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DR. KIMBERLY NICHOLE POWELL MD
NPI 1033375605
Pediatrics - Pediatric Critical Care Medicine in Springfield, IL

Active since August 04, 2008PECOS Enrolled
415 N 9TH ST, SUITE 4W16, SPRINGFIELD, IL 62702(217) 545-8000(217) 757-6654 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kimberly Nichole Powell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY NICHOLE POWELL MD (NPI 1033375605) is an individual pediatric critical care medicine provider in Springfield, Illinois, licensed in Illinois (036140805) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033375605
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameDR. KIMBERLY NICHOLE POWELLCredential: MD
Location Address415 N 9TH ST, SUITE 4W16Springfield, IL 62702-5303
Mailing AddressPo Box 19635Springfield, IL 62794-9635 · (217) 545-8000 · Fax (217) 757-6654
Phone(217) 545-8000
Fax(217) 757-6654
Sole ProprietorNo
Enumeration DateAugust 4, 2008
Last NPPES UpdateAugust 1, 2016
✔ NPI 1033375605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in IL · 036140805
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 2011009284 (MO)
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License 2011009284 (MO)
415 N 9TH ST, Springfield, IL 62702
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Other Identifiers 1

Medicare PINF400312956IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly Nichole Powell Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT MARC ABRAMS M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
415 N 9TH ST, 6W100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-5117
DR. SARA BETH RUBENACKER M.D.
Obstetrics & Gynecology
415 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-5117
JUSTINE HOLLE MORGAN CFNP
Clinical Nurse Specialist (Oncology, Pediatrics)
415 N 9TH ST, SUITE 2W106
SPRINGFIELD, IL 62702
Sangamon County (217) 545-7377
DR. ELIZABETH RAMSEY UNAL MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
415 N 9TH ST, STE 6W100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-5117
LORIE SPORRER FNP-BC
Nurse Practitioner (Family)
415 N 9TH ST, SUITE 6W100
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. HAYLEE ELIZABETH ELVENDAHL-RUMLEY DO
Obstetrics & Gynecology
415 N 9TH ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. KRISTEN LEADBETTER M.D.
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST, STE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
DR. GINGER L DARLING M.D.
Pediatrics (Neonatal-Perinatal Medicine)
415 N 9TH ST, SUITE 4W16
SPRINGFIELD, IL 62702
Sangamon County (217) 757-6429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Powell's NPI number?

The NPI number for Kimberly Powell is 1033375605. It was assigned to this individual provider in the NPPES registry on August 4, 2008.

Where is Kimberly Powell located?

Kimberly Powell practices at 415 N 9th St Suite 4w16, Springfield, IL 62702. The listed phone number is (217) 545-8000.

What is Kimberly Powell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Kimberly Powell enrolled in Medicare?

Yes. Kimberly Powell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kimberly Powell was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.