KIMBERLY STILLMAN D.O.
NPI 1578977880
Emergency Medicine in Saint Joseph, MI
About Kimberly Stillman D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY STILLMAN D.O. (NPI 1578977880) is an individual emergency medicine provider in Saint Joseph, Michigan, licensed in Michigan (5101021307) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Stillman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Stillman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT JOSEPH, MI 49085
SAINT JOSEPH, MI 49085
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 Kimberly Stillman's NPI number?
The NPI number for Kimberly Stillman is 1578977880. It was assigned to this individual provider in the NPPES registry on June 13, 2014.
Where is Kimberly Stillman located?
Kimberly Stillman practices at 1234 Napier Ave, Saint Joseph, MI 49085. The listed phone number is (269) 982-4941.
What is Kimberly Stillman's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kimberly Stillman enrolled in Medicare?
Yes. Kimberly Stillman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Stillman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Stillman reassigns Medicare benefits to Southern California Permanente Medical Group (Lancaster, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Stillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kimberly Stillman was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kimberly Stillman, D.O. · NPI 1578977880
Emergency Medicine physician in Saint Joseph, Michigan. Individual provider, active in the CMS NPPES registry since June 13, 2014.
## Identity
- **NPI:** 1578977880 (Entity type: Individual)
- **Enumerated:** June 13, 2014
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 5101021307 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1234 NAPIER AVE, Saint Joseph, MI 49085-2112
- **Phone:** (269) 982-4941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1578977880) · Data from the CMS NPPES public registry.