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

Kimberly Shrode

Individual provider Nurse Practitioner · NPI 1902349202

Kimberly Shrode is a Nurse Practitioner in Bloomington, Illinois. Qualified in 2016, 10 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

1405 Eastland Dr
Bloomington, IL 61701-3514
Phone: (309) 661-2400
Fax: (309) 661-6226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209014464 (IL)

Record details

NPI number1902349202
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2016
Last updated in NPPESNovember 18, 2016
Mailing address1405 Eastland Dr, Bloomington, IL 61701-3514

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 Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bloomington