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KIMBERLY SUMISLAWSKI PA-C
NPI 1952873267
Physician Assistant in Chicago, IL

Active since December 27, 2018PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
680 N LAKE SHORE DR, CHICAGO, IL 60611(312) 695-6868 Get Directions Write a Review

NPPES record last updated: September 14, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2019, Dec 27, 2018 (2 updates tracked since 2018).

About Kimberly Sumislawski Pa-c NPPES

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

KIMBERLY SUMISLAWSKI PA-C (NPI 1952873267) is an individual physician assistant in Chicago, Illinois, licensed in Ohio (APP-000216482) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1952873267
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY SUMISLAWSKICredential: PA-C
Location Address680 N LAKE SHORE DRChicago, IL 60611-4546
Mailing Address36416 Scottsmour CtAvon, OH 44011-3461 · (440) 522-5002
Phone(312) 695-6868
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 27, 2018
Last NPPES UpdateSeptember 14, 20192 updates tracked since enumeration
✔ NPI 1952873267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · APP-000216482
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
680 N LAKE SHORE DR, Chicago, IL 60611
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Secondary Practice Location 1

Location 19500 Euclid AveCleveland, OH 44195-0001 · Phone (216) 444-2200

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

Kimberly Sumislawski Pa-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 ID749528222
PECOS Enrollment IDI20191227002108
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.

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

MRS. BONNIE DEVROE MALIK CRNA
Nurse Anesthetist, Certified Registered
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
IMG MD, LLC
Medical Genetics, Ph.D. Medical Genetics
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 981-4400
DR. JAY MICHAEL PENSLER M.D.
Specialist
680 N LAKE SHORE DR, SUITE 1125
CHICAGO, IL 60611
Cook County (312) 642-7777
JAY PRYSTOWSKY MD
Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
ANURADHA PERNI MD
Anesthesiology (Pain Medicine)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Cook County (312) 695-9797
GYNECOLOGIC SPECIALISTS OF NORTHWESTERN, S.C.
Obstetrics & Gynecology (Gynecology)
680 N LAKE SHORE DR, SUITE117
CHICAGO, IL 60611
Cook County (312) 654-1166
DR. LEANNE TRAPP BENSKO M.D.
Pediatrics
680 N LAKE SHORE DR, 1050
CHICAGO, IL 60611
Cook County (312) 642-5515
DR. JULIA GOLDIN DNP
Nurse Practitioner (Family)
680 N LAKE SHORE DR
CHICAGO, IL 60611
Cook County (312) 965-6868

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 Sumislawski's NPI number?

The NPI number for Kimberly Sumislawski is 1952873267. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Where is Kimberly Sumislawski located?

Kimberly Sumislawski practices at 680 N Lake Shore Dr, Chicago, IL 60611. The listed phone number is (312) 695-6868.

What is Kimberly Sumislawski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Sumislawski enrolled in Medicare?

Yes. Kimberly Sumislawski 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 Kimberly Sumislawski affiliated with any hospitals?

According to CMS data, Kimberly Sumislawski is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Sumislawski was last updated on September 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.