Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Justin William Kierbs, ACNP-BC

Individual provider Vascular Surgery Physician · NPI 1841579026

Mr. Justin William Kierbs, ACNP-BC is a Nurse Practitioner in Decatur, Illinois. Qualified in 2011, 15 years ago. Practices with Prairie Cardiovascular Consultants Ltd, a 94-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

1800 E Lake Shore Dr
Decatur, IL 62521-3810
Phone: (217) 422-6100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1750 E Lake Shore Dr, Decatur, IL 62521-3803 — (217) 428-6300

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 209008969 (IL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 209.008969 (IL)

Record details

NPI number1841579026
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedAugust 5, 2011
Last updated in NPPESDecember 23, 2021
Certification dateDecember 23, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Prairie Cardiovascular Consultants Ltd — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Decatur