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MRS. KYLEA MARIE TIBBS-HNIZDO D.M.D
NPI 1174807705
Dentist in Springfield, IL

Active since September 30, 2011PECOS Enrolled
2239 E COOK ST, SPRINGFIELD, IL 62703(217) 788-2300(217) 788-2342 Get Directions Write a Review

NPPES record last updated: March 28, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Kylea Marie Tibbs-hnizdo D.m.d NPPES

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

MRS. KYLEA MARIE TIBBS-HNIZDO D.M.D (NPI 1174807705) is an individual dentist in Springfield, Illinois, licensed in Illinois (019028844) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174807705
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameMRS. KYLEA MARIE TIBBS-HNIZDOCredential: D.M.D
Location Address2239 E COOK STSpringfield, IL 62703-1944
Mailing Address415 S 9th StPetersburg, IL 62675-1621 · (217) 415-2426
Phone(217) 788-2300
Fax(217) 788-2342
Sole ProprietorNo
Enumeration DateSeptember 30, 2011
Last NPPES UpdateMarch 28, 2017
✔ NPI 1174807705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019028844
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2239 E COOK ST, Springfield, IL 62703
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kylea Marie Tibbs-hnizdo D.m.d 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.

Medicare Billing Reassignment

Medicare enrollment records show Kylea Tibbs-hnizdo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cass County Public Health Dept
33 mi
Federally Qualified Health Center (FQHC)
331 S MAIN ST
Virginia, IL 62691
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1164596375 (217) 452-3057

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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. TULIN PERIHAN OZYURT DMD
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
MUZAMMIL SAEED DDS
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
MRS. CORINNE ROSE JAHNS N.P.
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
LACI WATSON NP
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
ANKUSH KATKADE
Dentist (General Practice)
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
DR. MARY-MARGARET WILLIAMS WARRICK LOOKER D.D.S.
Dentist
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
ASHLYN S BARTELS FNP
Nurse Practitioner (Family)
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 788-2300
DR. MOHIT VERINDER SAHNI MD
Family Medicine
2239 E COOK ST
SPRINGFIELD, IL 62703
Sangamon County (217) 778-2300

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 Kylea Tibbs-hnizdo's NPI number?

The NPI number for Kylea Tibbs-hnizdo is 1174807705. It was assigned to this individual provider in the NPPES registry on September 30, 2011.

Where is Kylea Tibbs-hnizdo located?

Kylea Tibbs-hnizdo practices at 2239 E Cook St, Springfield, IL 62703. The listed phone number is (217) 788-2300.

What is Kylea Tibbs-hnizdo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kylea Tibbs-hnizdo enrolled in Medicare?

Yes. Kylea Tibbs-hnizdo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kylea Tibbs-hnizdo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylea Tibbs-hnizdo reassigns Medicare benefits to Cass County Public Health Dept (Virginia, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kylea Tibbs-hnizdo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kylea Tibbs-hnizdo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Kylea Tibbs-hnizdo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kylea Tibbs-hnizdo was last updated on March 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.