KIM MANK ACNP - NPI 1639406879 - Nurse Practitioner in Belleville, IL

Q: What is Kim Mank's NPI number?

The NPI number for Kim Mank is 1639406879. It was assigned to this individual provider in the NPPES registry on November 9, 2009.

Q: What is Kim Mank's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kim Mank was last updated on March 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kim Mank Acnp NPPES

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

KIM MANK ACNP (NPI 1639406879) is an individual adult health provider in Belleville, Illinois, licensed in Illinois (209007723) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Highland.

NPPES Registry Identity

NPI1639406879

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKIM MANKCredential: ACNP

Location Address4600 MEMORIAL DR STE 200Belleville, IL 62226-5363

Mailing Address4600 Memorial Dr Ste 200Belleville, IL 62226-5363 · (618) 233-2220

Phone(618) 233-2220

Sole ProprietorNo

Enumeration DateNovember 9, 2009

Last NPPES UpdateMarch 21, 20224 updates tracked since enumeration

NPPES CertifiedMarch 21, 2022

✔ NPI 1639406879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in IL · 209007723

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209007723 (IL)

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209.007723 (IL)

4600 MEMORIAL DR STE 200, Belleville, IL 62226

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Secondary Practice Location 1

Location 112860 Troxler AveHighland, IL 62249-2898 · Phone (618) 651-2816 · Fax (618) 654-1703

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Mank Acnp 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 62226 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

$88.44 typical visit price

range $56.28 – $173.35

Typical copayment $22.11 (range $14.07 – $43.33)

Most-billed visit code 99203

Established Patient

$99.71 typical visit price

range $17.51 – $139.99

Typical copayment $24.92 (range $4.37 – $34.99)

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.