Kellie Bibb
NPI 1699147215ActiveIndividual· Nurse Practitioner, Family· Springfield, IL
Nurse Practitioner, Family with Memorial Physician Services, practicing in Springfield, Illinois. 151 Medicare patients in 2024, $11,373 paid; nearly all of their 373 Part D prescriptions were generic (92%). Lists Memorial Medical Center as a hospital affiliation.
Overview
| NPI | 1699147215 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Oct 22, 2015 |
| Last updated in NPPES | Jul 19, 2022 |
| Certified by provider | Jul 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 277.000110 | IL |
| Nurse Practitioner, Family | 363LF0000X | 209013401 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 193 across 29 procedure codes |
| Paid by Medicare | $11,373 |
Part D prescriptions in 2024
| Prescriptions (claims) | 373 · 385 30-day fills |
|---|---|
| Patients | 217 |
| Total drug cost | $4,904 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Memorial Physician ServicesChatham, IL · 165 clinicians
Hospital affiliation
- Memorial Medical CenterSpringfield, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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