DR. KIMBERLY J. MITCHELL MD
NPI 1568425890
Emergency Medicine - Emergency Medical Services in New Lenox, IL

Q: What is Kimberly Mitchell's NPI number?

The NPI number for Kimberly Mitchell is 1568425890. It was assigned to this individual provider in the NPPES registry on April 8, 2006. The provider is also known as Kimberly J. Mitchell M.D..

Q: What is Kimberly Mitchell's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Mitchell was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 April 08, 2006PECOS Enrolled

1900 SILVER CROSS BLVD, NEW LENOX, IL 60451(815) 740-7050 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kimberly J. Mitchell Md NPPES

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

DR. KIMBERLY J. MITCHELL MD (NPI 1568425890) is an individual emergency medical services provider in New Lenox, Illinois, licensed in Illinois (036117711) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568425890

Entity TypeIndividualFemale

Primary Taxonomy207PE0004X

Provider Legal NameDR. KIMBERLY J. MITCHELLCredential: MD

Location Address1900 SILVER CROSS BLVDNew Lenox, IL 60451-9509

Mailing Address9234 Cloister CtFrankfort, IL 60423-3155 · (815) 534-5502

Phone(815) 740-7050

Sole ProprietorNo

Enumeration DateApril 8, 2006

Last NPPES UpdateAugust 14, 2013

✔ NPI 1568425890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

Licenses✔ Licensed in IL · 036117711✔ Licensed in VA · 0101840517

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

1900 SILVER CROSS BLVD, New Lenox, IL 60451

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Other Names 1

Professional Name (2)Kimberly J. Mitchell M.d.

Other Identifiers 3

Medicaid036117711IL

Medicare UPING97219IL

Medicare PINK38530IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kimberly J. Mitchell Md 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 60451 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.

MRS. CONNIE LYNN MACHETTA RDN, LDN

Dietitian, Registered