BETH ANN KIRBY APN
NPI 1912652736
Nurse Practitioner in Wauconda, IL
About Beth Ann Kirby Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETH ANN KIRBY APN (NPI 1912652736) is an individual nurse practitioner in Wauconda, Illinois, licensed in Illinois (209024912) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
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
Beth Ann Kirby Apn 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.
Medicare Billing Reassignment
Medicare enrollment records show Beth Kirby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spring Grove, IL 60081
- Reassigned Medicare billing, Illinois enrollment
- 2 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 60084 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.
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 Beth Kirby's NPI number?
The NPI number for Beth Kirby is 1912652736. It was assigned to this individual provider in the NPPES registry on February 21, 2022.
Where is Beth Kirby located?
Beth Kirby practices at 431 W Liberty St, Wauconda, IL 60084. The listed phone number is (847) 526-2151.
What is Beth Kirby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Beth Kirby enrolled in Medicare?
Yes. Beth Kirby 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 organization bills Medicare for Beth Kirby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Beth Kirby reassigns Medicare benefits to Modern Health LLC (Spring Grove, 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 Beth Kirby'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 Beth Kirby was last updated on March 15, 2022. 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.
# Beth Ann Kirby, APN · NPI 1912652736
Nurse Practitioner physician in Wauconda, Illinois. Individual provider, active in the CMS NPPES registry since February 21, 2022.
## Identity
- **NPI:** 1912652736 (Entity type: Individual)
- **Enumerated:** February 21, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209024912 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 431 W LIBERTY ST, Wauconda, IL 60084-2452
- **Phone:** (847) 526-2151 · **Fax:** (847) 526-2017
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Modern Health LLC (NPI 1275231276, Spring Grove, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1912652736) · Data from the CMS NPPES public registry.