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KIMBERLY LYNN PRUEMER APRN
NPI 1760113138
Nurse Practitioner - Family in Mattoon, IL

Active since June 17, 2022PECOS EnrolledAccepts Medicare Assignment
1201 WOODDELL WAY STE B, MATTOON, IL 61938(217) 238-3000(217) 238-3008 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly Lynn Pruemer Aprn NPPES

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

KIMBERLY LYNN PRUEMER APRN (NPI 1760113138) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209025334) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1760113138
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY LYNN PRUEMERCredential: APRN
Location Address1201 WOODDELL WAY STE BMattoon, IL 61938-1014
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Phone(217) 238-3000
Fax(217) 238-3008
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 17, 2022
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1760113138 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
License✔ Licensed in IL · 209025334
1201 WOODDELL WAY STE B, Mattoon, IL 61938
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Lynn Runde

Secondary Practice Locations 3

Location 12040 Lincoln Ave Ste 100Charleston, IL 61920-3197 · Phone (217) 345-2030 · Fax (217) 345-2045
Location 21303 W Evergreen Ave Ste 100Effingham, IL 62401-1638 · Phone (217) 540-6123 · Fax (217) 347-4969
Location 31100 Tuscola BlvdTuscola, IL 61953-2065 · Phone (217) 253-4764 · Fax (217) 253-4886

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Lynn Pruemer Aprn 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 ID1254717721
PECOS Enrollment IDI20221006001787
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Pruemer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sarah Bush Lincoln Health Center
9.8 mi
Family Medicine
1000 HEALTH CENTER DR
Mattoon, IL 61938
  • Reassigned Medicare billing, Illinois enrollment
  • 652 clinicians in this Medicare group
NPI 1568581379 (217) 258-2525
Family Care Associates Of Effingham, S.C.
20 mi
Rural Health
1106 N MERCHANT ST
Effingham, IL 62401
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Family Care Associates Of Effingham Sc
  • 20 clinicians in this Medicare group
NPI 1649255266 (217) 342-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services63 patients
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.
41 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 8

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

ABIGAIL ELIZABETH BONNSTETTER
Physician Assistant
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Coles County (217) 238-3000
AMANDA ZUMBAHLEN APN
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Coles County (217) 238-3000
VINCENT MACINO PA
Physician Assistant
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Coles County (217) 238-3000
MICHAELA K FREY APRN
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Coles County (217) 238-3000
LINDSEY DANIELLE RAHN FNP
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Coles County (217) 238-3000
KRISTINA NICOLE SMITH APRN,FNP-C
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Coles County (217) 238-3000
ELIZA J SMITH NP
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Coles County (217) 238-3000
EMMA SCHULTZ
Nurse Practitioner
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Coles County (217) 238-3000

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 Pruemer's NPI number?

The NPI number for Kimberly Pruemer is 1760113138. It was assigned to this individual provider in the NPPES registry on June 17, 2022. The provider is also known as Kimberly Lynn Runde.

Where is Kimberly Pruemer located?

Kimberly Pruemer practices at 1201 Wooddell Way Ste B, Mattoon, IL 61938. The listed phone number is (217) 238-3000.

What is Kimberly Pruemer's specialty?

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

Is Kimberly Pruemer enrolled in Medicare?

Yes. Kimberly Pruemer 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.

Which organizations bill Medicare for Kimberly Pruemer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Pruemer reassigns Medicare benefits to 2 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL) and Family Care Associates Of Effingham, S.C. (Effingham, IL). Each 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 Pruemer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Pruemer affiliated with any hospitals?

According to CMS data, Kimberly Pruemer is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Kimberly Pruemer was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.