KYLEY JO BOLK MD
NPI 1225534027
Emergency Medicine in Lincoln, IL
About Kyley Jo Bolk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLEY JO BOLK MD (NPI 1225534027) is an individual emergency medicine provider in Lincoln, Illinois, licensed in Illinois (036.170428) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyley Jo Bolk Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Kyley Bolk reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lincoln, IL 62656
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1558586180 (Illinois)
- 41 clinicians in this Medicare group
Springfield, IL 62781
- Reassigned Medicare billing, Illinois enrollment
- 141 clinicians in this Medicare group
Atlanta, GA 30322
- Reassigned Medicare billing, Georgia enrollment
- 4,840 clinicians in this Medicare group
Atlanta, GA 30303
- Reassigned Medicare billing, Georgia enrollment
- 2,681 clinicians in this Medicare group
Lagrange, GA 30240
- Reassigned Medicare billing, Georgia enrollment
- 1,506 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILAbraham Lincoln Memorial Hospital
Critical Access Hospitals · Lincoln, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62656 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
LINCOLN, IL 62656
LINCOLN, IL 62656
LINCOLN, IL 62656
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 Kyley Bolk's NPI number?
The NPI number for Kyley Bolk is 1225534027. It was assigned to this individual provider in the NPPES registry on April 2, 2018. The provider is also known as Kyley Jo Wyss.
Where is Kyley Bolk located?
Kyley Bolk practices at 200 Stahlhut Dr, Lincoln, IL 62656. The listed phone number is (217) 732-2161.
What is Kyley Bolk's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kyley Bolk enrolled in Medicare?
Yes. Kyley Bolk 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.
Which organizations bill Medicare for Kyley Bolk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyley Bolk reassigns Medicare benefits to 5 organizations: Abraham Lincoln Memorial Hospital (Lincoln, IL), Midwest Emergency Department Specialists Ltd (Springfield, IL), The Emory Clinic Inc (Atlanta, GA), Emory Medical Care Foundation Inc (Atlanta, GA) and Emory Specialty Associates, LLC (Lagrange, GA). Each 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 Kyley Bolk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kyley Bolk affiliated with any hospitals?
According to CMS data, Kyley Bolk is affiliated with Memorial Medical Center and Abraham Lincoln Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kyley Bolk was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Kyley Jo Bolk, MD · NPI 1225534027
Emergency Medicine physician in Lincoln, Illinois. Individual provider, active in the CMS NPPES registry since April 2, 2018.
## Identity
- **NPI:** 1225534027 (Entity type: Individual)
- **Enumerated:** April 2, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 036.170428 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 STAHLHUT DR, Lincoln, IL 62656-5066
- **Phone:** (217) 732-2161
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Abraham Lincoln Memorial Hospital (NPI 1154329753, Lincoln, IL); Midwest Emergency Department Specialists Ltd (NPI 1245263367, Springfield, IL); The Emory Clinic Inc (NPI 1396798229, Atlanta, GA); Emory Medical Care Foundation Inc (NPI 1063452381, Atlanta, GA); Emory Specialty Associates, LLC (NPI 1407864168, Lagrange, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1225534027) · Data from the CMS NPPES public registry.