Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Rene Claffey, FNP-C

Individual provider Family Nurse Practitioner · NPI 1194495424

Kimberly Rene Claffey, FNP-C is a Nurse Practitioner in Mount Vernon, Illinois. Qualified in 2021, 5 years ago. Practices with Premise Health of Illinois Medical PC, a 26-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5100 Lake Ter NE Ste WC
Mount Vernon, IL 62864-9665
Phone: (618) 899-5001
Fax: (618) 242-5152
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.024017 (IL)

Record details

NPI number1194495424
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedSeptember 17, 2021
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Premise Health Of Illinois Medical Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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