KIM A EARL APRN, PMHNP, FNP
NPI 1063669497
Nurse Practitioner - Psychiatric/Mental Health in Springfield, IL

Active since August 27, 2008PECOS EnrolledAccepts Medicare Assignment
1124 S 6TH ST, SPRINGFIELD, IL 62703(217) 523-3143(217) 523-1513 Get Directions Write a Review

NPPES record last updated: May 18, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kim A Earl Aprn, Pmhnp, Fnp NPPES

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

KIM A EARL APRN, PMHNP, FNP (NPI 1063669497) is an individual psychiatric/mental health provider in Springfield, Illinois, licensed in Illinois (209007155) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063669497
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIM A EARLCredential: APRN, PMHNP, FNP
Location Address1124 S 6TH STSpringfield, IL 62703-2406
Mailing Address1124 S 6th StSpringfield, IL 62703-2406 · (217) 523-3143 · Fax (217) 523-1513
Fax(217) 523-1513
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 27, 2008
Last NPPES UpdateMay 18, 2020
NPPES CertifiedMay 18, 2020
NPI 1063669497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 209007155
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209007155 (IL)
1124 S 6TH ST, Springfield, IL 62703

Other Names 1

Other Name (5)Kimberly A Earl Aprn, Pmhnp, Fnp-bc

Secondary Practice Location 1

Location 12200 Lake Victoria DrSpringfield, IL 62703-5596 · Phone (217) 529-9266

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kim A Earl Aprn, Pmhnp, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567523541
PECOS Enrollment IDI20081209000575
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
1124 S 6TH ST
SPRINGFIELD, IL 62703
Social Worker (Clinical)
1124 S 6TH ST
SPRINGFIELD, IL 62703

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 Kim Earl's NPI number?

The NPI number for Kim Earl is 1063669497. It was assigned to this individual provider in the NPPES registry on August 27, 2008. The provider is also known as Kimberly A Earl Aprn, Pmhnp, Fnp-Bc.

Where is Kim Earl located?

Kim Earl practices at 1124 S 6th St, Springfield, IL 62703. The listed phone number is (217) 523-3143.

What is Kim Earl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kim Earl enrolled in Medicare?

Yes. Kim Earl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kim Earl was last updated on May 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.