JANELLE RENEE KIRBY FNP-C
NPI 1942854526
Nurse Practitioner - Family in Mount Vernon, IL

Active since July 31, 2019PECOS EnrolledAccepts Medicare Assignment
73.88/100
CMS Quality Rating
209 CROSSROADS PL STE 120, MOUNT VERNON, IL 62864(618) 918-6045(618) 918-6046 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2023, Sep 5, 2023, Jul 31, 2019 (3 updates tracked since 2019).

About Janelle Renee Kirby Fnp-c NPPES

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

JANELLE RENEE KIRBY FNP-C (NPI 1942854526) is an individual family provider in Mount Vernon, Illinois, licensed in Illinois (209019668) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942854526
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJANELLE RENEE KIRBYCredential: FNP-C
Location Address209 CROSSROADS PL STE 120Mount Vernon, IL 62864-6545
Mailing Address209 Crossroads Pl Ste 120Mount Vernon, IL 62864-6545 · (618) 918-6045 · Fax (618) 918-6046
Fax(618) 918-6046
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 31, 2019
Last NPPES UpdateNovember 21, 20233 updates tracked since enumeration
NPPES CertifiedNovember 21, 2023
NPI 1942854526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209019668
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209019668 (IL)
209 CROSSROADS PL STE 120, Mount Vernon, IL 62864

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Janelle Renee Kirby Fnp-c 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 ID8123356698
PECOS Enrollment IDI20230816002249
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.

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.
180 services126 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.
152 services116 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
56 services56 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients

Hospital Affiliations CMS Care Compare 4

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.79
Promoting Interoperability91
Improvement Activities40
Cost56.52

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.

Nurse Practitioner (Family)
209 CROSSROADS PL STE 120
MOUNT VERNON, IL 62864
Nurse Practitioner
209 CROSSROADS PL STE 120
MOUNT VERNON, IL 62864

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 Janelle Kirby's NPI number?

The NPI number for Janelle Kirby is 1942854526. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Janelle Kirby located?

Janelle Kirby practices at 209 Crossroads Pl Ste 120, Mount Vernon, IL 62864. The listed phone number is (618) 918-6045.

What is Janelle Kirby's specialty?

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

Is Janelle Kirby enrolled in Medicare?

Yes. Janelle 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.

Is Janelle Kirby affiliated with any hospitals?

According to CMS data, Janelle Kirby is affiliated with Herrin Hospital, Heartland Regional Medical Center, Crossroads Community Hospital and Franklin Hospital.

When was this NPI record last updated?

The NPPES record for Janelle Kirby was last updated on November 21, 2023. 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.