EMMA KIRKHAM
NPI 1467389411
Nurse Practitioner - Psychiatric/Mental Health in Freeport, IL

Q: What is Emma Kirkham's NPI number?

The NPI number for Emma Kirkham is 1467389411. It was assigned to this individual provider in the NPPES registry on May 5, 2026. The provider is also known as Shade Kirkham.

Q: What is Emma Kirkham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Emma Kirkham was last updated on June 10, 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.

Active since May 05, 2026PECOS EnrolledAccepts Medicare Assignment

1631 S GALENA AVE, FREEPORT, IL 61032(815) 391-1000 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Emma Kirkham NPPES

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

EMMA KIRKHAM (NPI 1467389411) is an individual psychiatric/mental health provider in Freeport, Illinois, licensed in Illinois (209.033838) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1467389411

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameEMMA KIRKHAM

Location Address1631 S GALENA AVEFreeport, IL 61032-2517

Mailing Address1631 S Galena AveFreeport, IL 61032-2517 · (815) 391-1000 · Fax (815) 720-4952

Phone(815) 391-1000

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 5, 2026

Last NPPES UpdateJune 10, 2026

NPPES CertifiedJune 10, 2026

✔ NPI 1467389411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209.033838

1631 S GALENA AVE, Freeport, IL 61032

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Other Names 1

Other Name (5)Shade Kirkham

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

Emma Kirkham 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 ID941772388

PECOS Enrollment IDI20260616003957

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 61032 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 6

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

ROSECRANCE INC

Clinic/Center (Mental Health (Including Community Mental Health Center))