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

Mrs. Kimberly A Niebrugge, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1518281757

Mrs. Kimberly A Niebrugge, NURSEPRACTITIONER is a Nurse Practitioner in Vandalia, Illinois. Qualified in 2009, 17 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
17
Licensed in
IL, MO
In the registry since
2010
Specialties on file
2

Practice location Address checks out

1029 N 8th St
Vandalia, IL 62471-1238
Phone: (618) 283-4469
Fax: (618) 283-4767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209-007693 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 200932407 (MO)

Record details

NPI number1518281757
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 17, 2010
Last updated in NPPESSeptember 10, 2013

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Sarah Bush Lincoln Health Center — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Vandalia