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KRISTEN MARIE HILBURGER NP-C
NPI 1356733760
Nurse Practitioner - Family in Zion, IL

Active since February 22, 2015PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
2520 ELISHA AVE, ZION, IL 60099(847) 746-7506 Get Directions Write a Review

NPPES record last updated: January 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristen Marie Hilburger Np-c NPPES

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

KRISTEN MARIE HILBURGER NP-C (NPI 1356733760) is an individual family provider in Zion, Illinois, licensed in Illinois (209012562) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356733760
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTEN MARIE HILBURGERCredential: NP-C
Location Address2520 ELISHA AVEZion, IL 60099-2676
Mailing Address2520 Elisha AveZion, IL 60099-2676
Phone(847) 746-7506
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 22, 2015
Last NPPES UpdateJanuary 18, 2016
✔ NPI 1356733760 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 · 209012562
2520 ELISHA AVE, Zion, IL 60099
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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, UnitedHealthcare.Insurance ›

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

Kristen Marie Hilburger Np-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 ID9133432925
PECOS Enrollment IDI20210316000387
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.

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.

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.
124 services57 patients
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.
115 services59 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.
85 services54 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.
63 services36 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60099 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.

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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

MS. MONIQUE DAVIS LSW, LASOP
Counselor (Mental Health)
2520 ELISHA AVE
ZION, IL 60099
Lake County (847) 872-4786
MS. BRIANNA NICOLE WELBOURN MS, CCC, SLP
Speech-Language Pathologist
2520 ELISHA AVE
ZION, IL 60099
Lake County (847) 731-2821
KAREN GUTIERREZ
Specialist/Technologist, Other (Surgical Assistant)
2520 ELISHA AVE
ZION, IL 60099
Lake County (847) 872-5321
KENNY S. YOO M.D.
Radiology (Vascular & Interventional Radiology)
2520 ELISHA AVE
ZION, IL 60099
Lake County (800) 322-9183
RENEE PIAZZA RD
Dietitian, Registered
2520 ELISHA AVE
ZION, IL 60099
Lake County (847) 746-6583
LILY L ZHAO P.A.
Physician Assistant
2520 ELISHA AVE
ZION, IL 60099
Lake County (630) 835-6159
MRS. CRISCIEL P. HIDALGO APN-CNP
Nurse Practitioner
2520 ELISHA AVE
ZION, IL 60099
Lake County (800) 322-9183
DR. DANIEL ZHIDI LIU M.D.
Surgery (Plastic and Reconstructive Surgery)
2520 ELISHA AVE
ZION, IL 60099
Lake County (800) 322-9183

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 Kristen Hilburger's NPI number?

The NPI number for Kristen Hilburger is 1356733760. It was assigned to this individual provider in the NPPES registry on February 22, 2015.

Where is Kristen Hilburger located?

Kristen Hilburger practices at 2520 Elisha Ave, Zion, IL 60099. The listed phone number is (847) 746-7506.

What is Kristen Hilburger's specialty?

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

Is Kristen Hilburger enrolled in Medicare?

Yes. Kristen Hilburger 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.

What insurance does Kristen Hilburger accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Kristen Hilburger 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 Kristen Hilburger affiliated with any hospitals?

According to CMS data, Kristen Hilburger is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Kristen Hilburger was last updated on January 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.