KIMBERLY PREDMORE
NPI 1518251966
Nurse Practitioner - Family in Glen Ellyn, IL

Q: What is Kimberly Predmore's NPI number?

The NPI number for Kimberly Predmore is 1518251966. It was assigned to this individual provider in the NPPES registry on June 2, 2011.

Q: What is Kimberly Predmore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Predmore was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 02, 2011PECOS Enrolled

324 ROOSEVELT RD, GLEN ELLYN, IL 60137(800) 323-8622(224) 225-0368 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kimberly Predmore NPPES

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

KIMBERLY PREDMORE (NPI 1518251966) is an individual family provider in Glen Ellyn, Illinois, licensed in Illinois (209-008889) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518251966

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY PREDMORE

Location Address324 ROOSEVELT RDGlen Ellyn, IL 60137-5647

Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900

Phone(800) 323-8622

Fax(224) 225-0368

Sole ProprietorNo

Enumeration DateJune 2, 2011

Last NPPES UpdateFebruary 20, 2023

NPPES CertifiedFebruary 20, 2023

✔ NPI 1518251966 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

Licenses✔ Licensed in IL · 209-008889✔ Licensed in MO · 2011008782

324 ROOSEVELT RD, Glen Ellyn, IL 60137

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Predmore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 60137 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 20

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

CINDEJIEL LOPEZ

Pharmacist