Active NPI 1699147215 Individual Practitioner Female Practitioner

Kellie Bibb

Nurse Practitioner - Family • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kellie Bibb is a certified Nurse Practitioner - Family practicing in Springfield, IL. With approximately 11 years of clinical experience since completing medical education in 2015, Kellie Bibb delivers high-quality medical care to the local community at 3220 ATLANTA ST.

Kellie Bibb is affiliated with Memorial Physician Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, removal of impacted ear wax. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3220 Atlanta St

Springfield, IL 627078801

Telephone 2175882600

Fax 2178620202

Associated Practice Facility / Clinic

🏢 North Dirksen Medical Associates, Llc Facility NPI 1063646040

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Springfield, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +1.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 8.9 Yrs

Regional Practice Density

311 Specialists

Practicing in Springfield, IL (7705 Statewide)

Telehealth Adoption Rate

10.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bibb (11 Years) 11 Yrs

Springfield Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	81	$306.33	$104.08
99213 Established patient office or other outpatient visit, typically 15 minutes	35	34	$207.37	$72.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$464.63	$147.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	101	$297.89	$105.73
99213 Established patient office or other outpatient visit, typically 15 minutes	70	67	$201.97	$73.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$483.68	$138.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$451.36	$148.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$329.73	$93.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	86	$204.00	$75.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	81	$298.20	$106.77
69210 Removal of impacted ear wax	22	22	$152.77	$39.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$320.64	$93.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	270	164	$145.62	$38.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	169	151	$450.46	$107.87
99213 Established patient office or other outpatient visit, typically 15 minutes	112	93	$315.90	$76.53
31575 Diagnostic exam of voice box using a flexible endoscope	37	36	$579.00	$103.81
30901 Simple control of nose bleed	15	13	$604.80	$130.51
92511 Exam of the nose and throat using an endoscope	13	13	$539.00	$96.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	176	156	$419.47	$90.84
69210 Removal of impacted ear wax	170	116	$143.38	$39.82
99213 Established patient office or other outpatient visit, typically 15 minutes	69	60	$293.01	$61.06
31575 Diagnostic exam of voice box using a flexible endoscope	38	36	$579.00	$102.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	200	121	$66.14	$38.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	160	134	$163.31	$89.90
99213 Established patient office or other outpatient visit, typically 15 minutes	106	81	$114.83	$61.58
31575 Diagnostic exam of voice box using a flexible endoscope	33	33	$234.48	$90.02
92504 Exam of ear using a microscope	28	20	$30.72	$23.86
30901 Simple control of nose bleed	23	21	$201.51	$113.93
92511 Exam of the nose and throat using an endoscope	17	16	$190.96	$90.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
69210 Removal of impacted ear wax	206	139	$54.17	$39.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	142	$133.05	$87.46
99213 Established patient office or other outpatient visit, typically 15 minutes	153	119	$83.11	$59.16
92504 Exam of ear using a microscope	29	20	$30.56	$23.50
31575 Diagnostic exam of voice box using a flexible endoscope	29	28	$151.15	$90.54
92511 Exam of the nose and throat using an endoscope	15	15	$142.01	$82.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	140	$78.78	$59.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	175	137	$120.63	$86.36
69210 Removal of impacted ear wax	175	121	$53.18	$39.66
31575 Diagnostic exam of voice box using a flexible endoscope	39	38	$120.53	$91.29
30901 Simple control of nose bleed	16	13	$102.45	$78.44

Medical Specialties & State Licenses

CMS Verified: 2022-07-19

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License IL 277.000110

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209013401

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rn

041.382679 (IL)

Hospital & Practice Group Affiliations

Memorial Physician Services

101 E Plummer Blvd, Chatham, IL 626298047

Phone: 2174833487

Practice Associates & Co-Workers

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

29 Associated Practitioners

Dr. Kathryn Viotto , DO

Family Medicine

NPI 1003477787

Doctor of Osteopathic Medicine (D.O.)

Gabrielle Dimarzio

Nurse Practitioner - Family

NPI 1033983481

Anne Meier

Nurse Practitioner - Family

NPI 1073263711

Carol Lantz , APN

Nurse Practitioner - Family

NPI 1114435559

Advanced Practice Nurse

Courtney Mehochko , APRN

Nurse Practitioner - Family

NPI 1114809258

Advanced Practice Registered Nurse

Ashley Overmeyer , APN

Nurse Practitioner - Family

NPI 1124501606

Advanced Practice Nurse

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location July 19, 2022

Registered at 3220 ATLANTA ST, SPRINGFIELD, IL 627078801 (Tel: 2175882600)

📍

Updated Business Mailing Address July 19, 2022

Registered at PO BOX 3428, SPRINGFIELD, IL 627083428 (Tel: 2175882600)

👤

Provider Name / Credentials Updated July 19, 2022

Recorded as KELLIE BIBB

✅

NPI Profile Active October 22, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 22, 2015

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

📍

Updated Business Mailing Address October 22, 2015

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤

Provider Name / Credentials Updated October 22, 2015

Recorded as KELLIE SIDENER, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2015

Nurse Practitioner (License #209013401 in IL)

🟢

Initial NPI Registration & Enumeration October 22, 2015

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: 1699147215

Entity Type:

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

Enumeration Date: October 22, 2015

Last Update: July 19, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 3428

Springfield, IL 627083428

Phone: 2175882600

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.