Active NPI 1285829572 Individual Practitioner Female Practitioner

Kirby L Klostermann , FNP

Nurse Practitioner • Glen Carbon, IL

✓ Accepts Medicare Assignment

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kirby Klostermann, FNP is a registered Nurse Practitioner practitioner in Glen Carbon, IL. With approximately 19 years of clinical practice since completing medical education in 2007, Kirby Klostermann provides healthcare services at the registered practice location at 2 COTTONWOOD RD.

Kirby Klostermann is affiliated with Residential Hospice Of Southern Illinois, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2 Cottonwood Rd

Glen Carbon, IL 620342782

Telephone 6182881772

Associated Practice Facility / Clinic

🏢 Walgreen Co Facility NPI 1609881838

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Glen Carbon, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +10.3 yrs vs City Avg

City Avg: 8.7 Yrs

State Avg: 10.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Glen Carbon, IL (4929 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Klostermann (19 Years) 19 Yrs

Glen Carbon Specialty Average (8.7 Years) 8.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$150.00	$73.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	71	$144.00	$77.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$212.00	$94.72
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	22	21	$78.00	$30.49
87804 Detection test by immunoassay with direct visual observation for influenza virus	21	15	$42.00	$16.27
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	18	18	$73.00	$34.82
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	12	$42.00	$16.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90662 Influenza vaccine split virus, preservative free	45	45	$78.00	$60.98
G0008 Administration of influenza virus vaccine	43	43	$43.00	$16.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	36	36	$34.11	$16.22
90662 Influenza vaccine split virus, preservative free	23	23	$70.61	$54.78
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$108.81	$65.49
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$102.54	$63.63
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$51.15	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	34	34	$33.00	$19.84
90662 Influenza vaccine split virus, preservative free	29	29	$60.00	$52.01
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$103.00	$63.77
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$101.00	$61.94
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$30.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	47	47	$33.00	$24.38
90662 Influenza vaccine split virus, preservative free	45	45	$60.00	$47.91
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$103.00	$63.42

Medical Specialties & State Licenses

CMS Verified: 2022-01-06

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277000540

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Group Medicare Number

900710 (IL)

Hospital & Practice Group Affiliations

Residential Hospice Of Southern Illinois, Llc

4215 S State Route 159, Glen Carbon, IL 620343267

Phone: 8003588227

Secondary Practice Locations

33 Bronze Pointe, Suite 150

Belleville, IL 622268305

Phone: 6182338000

2122 Troy Rd Ste 130

Edwardsville, IL 620252540

Phone: 6188004500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Seth Kelly , RPH

Pharmacist

NPI 1073488953

Registered Pharmacist

Ashley Peck

Pharmacist

NPI 1154265403

Dr. Samantha Collins , DNP, FNP-C

Nurse Practitioner

NPI 1215481924

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Mary Worster

Pharmacist

NPI 1396032454

Dr. Heidi Trackwell , PharmD

Pharmacist

NPI 1417244740

Doctor of Pharmacy (Pharm.D.)

Artiola Shaholli

Pharmacist

NPI 1851219919

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events

📍

Updated Practice Location October 23, 2020

Registered at 2 COTTONWOOD RD, GLEN CARBON, IL 620342782 (Tel: 6182881772)

📍

Updated Business Mailing Address October 23, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2020

Nurse Practitioner (License #277000540 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2018

Nurse Practitioner (License #209006670 in IL)

✅

NPI Profile Active September 10, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 10, 2007

Registered at 33 BRONZE POINTE, SUITE 150, BELLEVILLE, IL 622268305 (Tel: 6182338000)

📍

Updated Business Mailing Address September 10, 2007

Registered at 33 BRONZE POINTE, SUITE 150, BELLEVILLE, IL 622268305 (Tel: 6182338000)

👤

Provider Name / Credentials Updated September 10, 2007

Recorded as KIRBY KLOSTERMANN, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2007

Nurse Practitioner

🟢

Initial NPI Registration & Enumeration September 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285829572

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 10, 2007

Last Update: January 06, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 955534

Saint Louis, MO 631955534

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.