MR. JUSTIN WILLIAM KIERBS ACNP-BC NPI 1841579026

NPI Information

NPI: 1841579026
Provider Name: MR. JUSTIN WILLIAM KIERBS, ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1800 E LAKE SHORE DR
DECATUR, IL
ZIP 62521
Phone: (217) 422-6100
Get Directions

MR. Justin William Kierbs, ACNP-BC is an acute care nurse practitioner in Decatur, IL with 13 years of experience. MR. Justin William Kierbs, ACNP-BC NPI is 1841579026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1800 E LAKE SHORE DR
DECATUR, IL
ZIP 62521-810
Phone: (217) 422-6100

The NPI 1841579026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/5/2011 and was last updated on 12/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery	209.008969	ILLINOIS	No
2	363LA2100X	Nurse Practitioner	Acute Care	209008969	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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