KRISTIN A MOCK MD
NPI 1255380762
Family Medicine in Sycamore, IL
About Kristin A Mock Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN A MOCK MD (NPI 1255380762) is an individual family medicine provider in Sycamore, Illinois, licensed in Illinois (036102009) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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
Kristin A Mock 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
2Medicare enrollment records show Kristin Mock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
St Charles, IL 60174
- Reassigned Medicare billing, Illinois enrollment
- 561 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 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 13
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Katherine Shaw Bethea Hospital
Acute Care Hospitals · Dixon, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILEdward Hospital
Acute Care Hospitals · Naperville, ILSaint Anthony Medical Center
Acute Care Hospitals · Rockford, ILNorthwestern Medicine Kishwaukee Hospital
Acute Care Hospitals · Dekalb, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60118 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.
Referred Medical Equipment & Supplies CMS DME claims 16
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mock's NPI number?
The NPI number for Kristin Mock is 1255380762. It was assigned to this individual provider in the NPPES registry on May 10, 2006.
Where is Kristin Mock located?
Kristin Mock practices at 954 West State Street, Sycamore, IL 60118. The listed phone number is (815) 895-9144.
What is Kristin Mock's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kristin Mock enrolled in Medicare?
Yes. Kristin Mock 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 Kristin Mock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Mock reassigns Medicare benefits to 2 organizations: Edward Health Ventures (St Charles, IL) and Osf Multi-Specialty Group (Peoria, IL). 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 Kristin Mock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kristin Mock affiliated with any hospitals?
According to CMS data, Kristin Mock is affiliated with Katherine Shaw Bethea Hospital, Saint Francis Medical Center, Edward Hospital, Saint Anthony Medical Center and Northwestern Medicine Kishwaukee Hospital.
When was this NPI record last updated?
The NPPES record for Kristin Mock was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kristin A Mock, MD · NPI 1255380762
Family Medicine physician in Sycamore, Illinois. Individual provider, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1255380762 (Entity type: Individual)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 036102009 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 954 WEST STATE STREET, Sycamore, IL 60118
- **Phone:** (815) 895-9144 · **Fax:** (815) 899-4234
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Edward Health Ventures (NPI 1205903168, St Charles, IL); Osf Multi-Specialty Group (NPI 1154908929, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** February 9, 2021
- **Other identifiers:** Medicaid 036102009 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1255380762) · Data from the CMS NPPES public registry.