KIM MCCOY
NPI 1568858223
Nurse Practitioner - Psychiatric/Mental Health in Melrose Park, IL

Active since April 09, 2015PECOS EnrolledAccepts Medicare Assignment
1111 SUPERIOR ST, SUITE 101, MELROSE PARK, IL 60160(708) 406-3040(708) 406-3059 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kim Mccoy NPPES

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

KIM MCCOY (NPI 1568858223) is an individual psychiatric/mental health provider in Melrose Park, Illinois, licensed in Illinois (377002092) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1568858223
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIM MCCOY
Location Address1111 SUPERIOR ST, SUITE 101Melrose Park, IL 60160-4138
Mailing Address1111 Superior St, Suite 101Melrose Park, IL 60160-4138 · (708) 406-3040 · Fax (708) 406-3059
Fax(708) 406-3059
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 9, 2015
Last NPPES UpdateJanuary 23, 2026
NPPES CertifiedJanuary 23, 2026
NPI 1568858223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in IL · 377002092
Also ListedRegistered NurseTaxonomy 163W00000X · License 041321035 (IL)
1111 SUPERIOR ST, Melrose Park, IL 60160

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

Kim Mccoy 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 ID7214248673
PECOS Enrollment IDI20150625002163
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

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 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.
89 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60160 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Occupational Therapist (Hand)
1111 SUPERIOR ST, LL, OUTPATIENT OCCUPATIONAL THERAPY
MELROSE PARK, IL 60160
Hospitalist
1111 SUPERIOR ST, SUITE 101
MELROSE PARK, IL 60160
Family Medicine
1111 SUPERIOR ST, SUITE 304
MELROSE PARK, IL 60160
Pediatrics
1111 SUPERIOR ST, STE 412
MELROSE PARK, IL 60160
Clinic/Center (Primary Care)
1111 SUPERIOR ST, SUITE 304
MELROSE PARK, IL 60160
Clinic/Center (Urgent Care)
1111 SUPERIOR ST, #207
MELROSE PARK, IL 60160
Obstetrics & Gynecology
1111 SUPERIOR ST, SUITE 304
MELROSE PARK, IL 60160
Internal Medicine
1111 SUPERIOR ST, SUITE 408
MELROSE PARK, IL 60160

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 Kim Mccoy's NPI number?

The NPI number for Kim Mccoy is 1568858223. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Kim Mccoy located?

Kim Mccoy practices at 1111 Superior St Suite 101, Melrose Park, IL 60160. The listed phone number is (708) 406-3040.

What is Kim Mccoy's specialty?

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

Is Kim Mccoy enrolled in Medicare?

Yes. Kim Mccoy 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.

When was this NPI record last updated?

The NPPES record for Kim Mccoy was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.