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KAYLA MARIE FREEBURG APN, PNP-PC
NPI 1861117871
Pediatrics - Pediatric Pulmonology in Washington, IL

Active since October 11, 2022PECOS Enrolled
10 SAINT CLARE CT, WASHINGTON, IL 61571(309) 624-2277 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2024, Oct 11, 2022 (2 updates tracked since 2022).

About Kayla Marie Freeburg Apn, Pnp-pc NPPES

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

KAYLA MARIE FREEBURG APN, PNP-PC (NPI 1861117871) is an individual pediatric pulmonology provider in Washington, Illinois, licensed in Illinois (209.026056) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1861117871
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameKAYLA MARIE FREEBURGCredential: APN, PNP-PC
Location Address10 SAINT CLARE CTWashington, IL 61571-9239
Mailing Address109 Lakewood AveEast Peoria, IL 61611-4556 · (309) 336-1994
Phone(309) 624-2277
Sole ProprietorNo
Enumeration DateOctober 11, 2022
Last NPPES UpdateJuly 29, 20242 updates tracked since enumeration
NPPES CertifiedJuly 29, 2024
✔ NPI 1861117871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in IL · 209.026056
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
10 SAINT CLARE CT, Washington, IL 61571
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Secondary Practice Location 1

Location 15200 N Hamilton RdPeoria, IL 61614-3711 · Phone (309) 573-0700

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kayla Marie Freeburg Apn, Pnp-pc 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 Reassignment

Medicare enrollment records show Kayla Freeburg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Board Of Trustees Of The University Of Illinois
7.9 mi
Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1467425322 (309) 680-8649

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

Other Providers at the Same Location NPPES 17

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

JON BYLER
Pediatrics
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
SHELLY SHALLAT
Pediatrics
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
JESSICA E. GARCEAU APN
Nurse Practitioner (Gerontology)
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
KATHERINE J ENGELKE APN
Nurse Practitioner
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
LORI KYLE LCSW
Social Worker (Clinical)
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 866-4000
GAIL GOEPPINGER
Nurse Practitioner
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000
SCOTT CARLSON
Pediatrics
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4003
MATTHEW GORMAN
Internal Medicine
10 SAINT CLARE CT
WASHINGTON, IL 61571
Tazewell County (309) 886-4000

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 Kayla Freeburg's NPI number?

The NPI number for Kayla Freeburg is 1861117871. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Kayla Freeburg located?

Kayla Freeburg practices at 10 Saint Clare Ct, Washington, IL 61571. The listed phone number is (309) 624-2277.

What is Kayla Freeburg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Kayla Freeburg enrolled in Medicare?

Yes. Kayla Freeburg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kayla Freeburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Freeburg reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Peoria, IL). 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 Kayla Freeburg'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 Kayla Freeburg was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.