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KIMBERLY RENE CLAFFEY FNP-C
NPI 1194495424
Nurse Practitioner - Family in Mount Vernon, IL

Active since September 17, 2021PECOS EnrolledAccepts Medicare Assignment
5100 LAKE TER NE STE WC, MOUNT VERNON, IL 62864(618) 899-5001(618) 242-5152 Get Directions Write a Review

NPPES record last updated: September 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Rene Claffey Fnp-c NPPES

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

KIMBERLY RENE CLAFFEY FNP-C (NPI 1194495424) is an individual family provider in Mount Vernon, Illinois, licensed in Illinois (209.024017) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194495424
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY RENE CLAFFEYCredential: FNP-C
Location Address5100 LAKE TER NE STE WCMount Vernon, IL 62864-9665
Mailing Address5100 Lake Ter Ne Ste WcMount Vernon, IL 62864-9665 · (618) 899-5001 · Fax (618) 242-5152
Phone(618) 899-5001
Fax(618) 242-5152
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 17, 2021
NPPES CertifiedSeptember 17, 2021
✔ NPI 1194495424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.024017
5100 LAKE TER NE STE WC, Mount Vernon, IL 62864
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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 and accepts Medicare assignment

Kimberly Rene Claffey Fnp-c 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 ID9830588086
PECOS Enrollment IDI20211110001079
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 62864 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

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

AMANDA ENGELE FNP-C
Nurse Practitioner (Family)
5100 LAKE TER NE STE WC
MOUNT VERNON, IL 62864
Jefferson County (618) 899-5001

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 Claffey's NPI number?

The NPI number for Kimberly Claffey is 1194495424. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Kimberly Claffey located?

Kimberly Claffey practices at 5100 Lake Ter NE Ste Wc, Mount Vernon, IL 62864. The listed phone number is (618) 899-5001.

What is Kimberly Claffey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Claffey enrolled in Medicare?

Yes. Kimberly Claffey 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 Kimberly Claffey was last updated on September 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.