KRISTIN A KANG PNP
NPI 1174772552
Nurse Practitioner - Pediatrics in Peoria, IL

Q: What is Kristin Kang's NPI number?

The NPI number for Kristin Kang is 1174772552. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Q: What is Kristin Kang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Kang was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since September 10, 2008PECOS Enrolled

530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kristin A Kang Pnp NPPES

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

KRISTIN A KANG PNP (NPI 1174772552) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (249.008812) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174772552

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKRISTIN A KANGCredential: PNP

Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000

Phone(309) 655-2000

Sole ProprietorNo

Enumeration DateSeptember 10, 2008

Last NPPES UpdateFebruary 3, 2012

✔ NPI 1174772552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IL · 249.008812

530 NE GLEN OAK AVE, Peoria, IL 61637

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin A Kang Pnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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 20

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

DR. DEEPAK S NAIR M.D.

Psychiatry & Neurology (Neurology)

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

DR. HAMID MAHMOOD ZIA M.D

Pathology (Anatomic Pathology & Clinical Pathology)

530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637

Peoria County (309) 624-9011

THOMAS JAMES MCMORROW MD

Pediatrics

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2553

ALEXANDRA ROPER MD

Surgery

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

JAPMEHR KAUR SANDHU M.B.B.S.

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 624-9351

THOMAS BLACKWELL JR. MD

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2000

LUKE KLOFT

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-2109

ABIGAIL V. WELU DO

Student in an Organized Health Care Education/Training Program

530 NE GLEN OAK AVE
PEORIA, IL 61637

Peoria County (309) 655-6710

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 Kristin Kang's NPI number?

The NPI number for Kristin Kang is 1174772552. It was assigned to this individual provider in the NPPES registry on September 10, 2008.

Where is Kristin Kang located?

Kristin Kang practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.

What is Kristin Kang's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kristin Kang enrolled in Medicare?

Yes. Kristin Kang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Kang was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.