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KIMBERLY HANNAH KUPFERBERG NP
NPI 1790390805
Nurse Practitioner in Chicago, IL

Active since September 15, 2020PECOS Enrolled
1500 S FAIRFIELD AVE FL 4, CHICAGO, IL 60608(773) 257-4325(773) 257-2155 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2021, Mar 8, 2021, Sep 15, 2020 (3 updates tracked since 2020).

About Kimberly Hannah Kupferberg Np NPPES

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

KIMBERLY HANNAH KUPFERBERG NP (NPI 1790390805) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209021982) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Long Grove.

NPPES Registry Identity

NPI1790390805
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY HANNAH KUPFERBERGCredential: NP
Location Address1500 S FAIRFIELD AVE FL 4Chicago, IL 60608-1782
Mailing Address1500 South Fairfield Avenue, Nr7-109Chicago, IL 60608 · (773) 257-1173 · Fax (773) 257-2155
Phone(773) 257-4325
Fax(773) 257-2155
Sole ProprietorNo
Enumeration DateSeptember 15, 2020
Last NPPES UpdateMarch 17, 20213 updates tracked since enumeration
NPPES CertifiedMarch 17, 2021
✔ NPI 1790390805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209021982
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1500 S FAIRFIELD AVE FL 4, Chicago, IL 60608
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Secondary Practice Location 1

Location 11103 Schaeffer RdLong Grove, IL 60047-5153 · Phone (847) 732-6697

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Hannah Kupferberg Np 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.

Medicare Billing Reassignments

2

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

Mount Sinai Community Foundation
Same address
Internal Medicine
2720 W 15TH ST
Chicago, IL 60608
  • Reassigned Medicare billing, Illinois enrollment
  • 646 clinicians in this Medicare group
NPI 1841338340 (773) 257-4191
Post Acute Clinical Services PLLC
588 mi
Family Medicine
620 TOM HUNTER RD
Charlotte, NC 28213
  • Reassigned Medicare billing, North Carolina enrollment
  • 48 clinicians in this Medicare group
NPI 1548061104 (704) 598-5136

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 60608 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
3 suppliers16 claims16 services$319.30 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
6 suppliers120 claims120 services$182.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP
Clinic/Center
1500 S FAIRFIELD AVE FL 4
CHICAGO, IL 60608
Cook County (773) 257-1165
MOUNT SINAI HOSPITAL MEDICAL CENTER
Clinic/Center
1500 S FAIRFIELD AVE FL 4
CHICAGO, IL 60608
Cook County (773) 257-1165

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 Kupferberg's NPI number?

The NPI number for Kimberly Kupferberg is 1790390805. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Kimberly Kupferberg located?

Kimberly Kupferberg practices at 1500 S Fairfield Ave Fl 4, Chicago, IL 60608. The listed phone number is (773) 257-4325.

What is Kimberly Kupferberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Kupferberg enrolled in Medicare?

Yes. Kimberly Kupferberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Kupferberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Kupferberg reassigns Medicare benefits to 2 organizations: Mount Sinai Community Foundation (Chicago, IL) and Post Acute Clinical Services PLLC (Charlotte, NC). 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 Kupferberg'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 Kupferberg was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.