Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly J Mitchell

Individual provider Nurse Practitioner · NPI 1700350170

Kimberly J Mitchell is a Nurse Practitioner in East Saint Louis, Illinois. Qualified in 2016, 10 years ago. Practices with Osh-Il Physicians Group LLC, a 5-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2420 State St
East Saint Louis, IL 62205-2321
Phone: (618) 318-8809
Fax: (618) 615-4205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 3354 Jerome Ln, Cahokia, IL 62206-2604 — (618) 484-7850
  • 5 Kennedy Dr, Granite City, IL 62040 — (618) 504-0908
  • 1 Westbrook Corporate Ctr Ste 300, Westchester, IL 60154-5709 — (866) 949-0108
  • 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108-3725 — (866) 949-0108

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.018150 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209018150 (IL)

Record details

NPI number1700350170
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2019
Last updated in NPPESJune 6, 2025
Certification dateJune 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Osh-Il Physicians Group Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Saint Louis