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MRS. KIMBERLY D ZITO APN
NPI 1255985164
Nurse Practitioner - Family in West Dundee, IL

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment
979 W MAIN ST, WEST DUNDEE, IL 60118(224) 802-2680 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2022, Dec 14, 2021, Dec 9, 2021 and 2 more (5 updates tracked since 2019).

About Mrs. Kimberly D Zito Apn NPPES

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

MRS. KIMBERLY D ZITO APN (NPI 1255985164) is an individual family provider in West Dundee, Illinois, licensed in Illinois (209019165) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Advocate Good Shepherd Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1255985164
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KIMBERLY D ZITOCredential: APN
Location Address979 W MAIN STWest Dundee, IL 60118-2088
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Phone(224) 802-2680
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 29, 2019
Last NPPES UpdateMay 12, 20225 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
✔ NPI 1255985164 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 · 209019165
979 W MAIN ST, West Dundee, IL 60118
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mrs. Kimberly D Zito Apn 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 ID547692915
PECOS Enrollment IDI20210813002024
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 Reassignments

3

Medicare enrollment records show Kimberly Zito reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crystal Lake Immediate Care Physicians Ltd.
9.3 mi
Emergency Medicine
525 E CONGRESS PKWY, SUITE 100
Crystal Lake, IL 60014
  • Reassigned Medicare billing, Illinois enrollment
  • 40 clinicians in this Medicare group
NPI 1538517198 (815) 479-7490
Tri-County Emergency Physicians, Ltd
10 mi
Emergency Medicine
450 W HIGHWAY 22
Barrington, IL 60010
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1700810470 (847) 381-9600
Lutheran General Hospital
23 mi
Cardiovascular Disease
1775 DEMPSTER ST
Park Ridge, IL 60068
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
NPI 1801809306 (847) 723-2210

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services84 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services18 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
14 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician 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.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 3

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

KIMBERLY WESSENDORF FNP-BC
Nurse Practitioner (Family)
979 W MAIN ST
WEST DUNDEE, IL 60118
Kane County (847) 426-9396
MS. ERIKA OCEGUERA
Nurse Practitioner (Family)
979 W MAIN ST
WEST DUNDEE, IL 60118
Kane County (847) 426-9396
DR. SYED ABBAS
Family Medicine
979 W MAIN ST
WEST DUNDEE, IL 60118
Kane County (847) 426-9396

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 Zito's NPI number?

The NPI number for Kimberly Zito is 1255985164. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Kimberly Zito located?

Kimberly Zito practices at 979 W Main St, West Dundee, IL 60118. The listed phone number is (224) 802-2680.

What is Kimberly Zito's specialty?

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

Is Kimberly Zito enrolled in Medicare?

Yes. Kimberly Zito 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 Kimberly Zito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Zito reassigns Medicare benefits to 3 organizations: Crystal Lake Immediate Care Physicians Ltd. (Crystal Lake, IL), Tri-County Emergency Physicians, Ltd (Barrington, IL) and Lutheran General Hospital (Park Ridge, 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 Kimberly Zito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Zito accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kimberly Zito 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.

Is Kimberly Zito affiliated with any hospitals?

According to CMS data, Kimberly Zito is affiliated with Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Zito was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.