Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780872788 Individual Practitioner Female Practitioner

Kimberly Ann Mulligan , PA-C

Physician Assistant • Joliet, IL

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

Kimberly Mulligan, PA-C is a registered healthcare professional specializing in Physician Assistant in Joliet, IL. Official NPI practice address is registered at 2025 S CHICAGO ST.

Frequently performed procedures and clinical services include established patient assisted living visit, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2025 S Chicago St

Joliet, IL 60436

Telephone 8157262200
Fax 3145368783
Associated Practice Facility / Clinic
🏢 Yatin M Shah Md Sc Facility NPI 1497851703

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Joliet, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
46 Specialists

Practicing in Joliet, IL (4958 Statewide)

Telehealth Adoption Rate
2.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99336 Established patient assisted living visit, typically 40 minutes
43 37 $300.00 $122.01
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
41 31 $234.00 $115.63
36415 Insertion of needle into vein for collection of blood sample
18 18 $35.00 $2.94

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085003958

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AZ 3711

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Ptan
525200005 (IL)

Practice Associates & Co-Workers

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

22 Associated Practitioners
Tonya Hagenbaumer , MSRDLD

Dietitian, Registered

NPI 1033360136
Shelane Solt , FNP-BC

Nurse Practitioner - Family

NPI 1134634488

Family Nurse Practitioner (Board Certified)

Dr. Niraj Shah , MD

Internal Medicine

NPI 1215248067

Doctor of Medicine (M.D.)

Dr. Yatin Shah , MD

Internal Medicine

NPI 1235108911

Doctor of Medicine (M.D.)

Allison Curran

Nurse Practitioner - Family

NPI 1255467858
Lisa Smith , NP

Nurse Practitioner - Family

NPI 1295218238

Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 18, 2018

Registered at 2025 S CHICAGO ST, JOLIET, IL 60436 (Tel: 8157262200)

NPI Profile Active December 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 30, 2016

Registered at 2025 S CHICAGO ST, JOLIET, IL 604363172 (Tel: 8157262200)

📍
Updated Business Mailing Address December 30, 2016

Registered at 1800 N MAIN ST, WHEATON, IL 601873112 (Tel: 6306144960)

👤
Provider Name / Credentials Updated December 30, 2016

Recorded as KIMBERLY MULLIGAN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2016

Physician Assistant (License #085003958 in IL)

🟢
Initial NPI Registration & Enumeration October 04, 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: 1780872788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2007
Last Update: June 18, 2018
Sole Proprietor: No

Mailing Address

1800 N Main St

Wheaton, IL 601873112

Phone: 6306144960

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.