2026 NPPES data Clinical Nurse Specialist NPI 1861696593 APN
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KAREN KILEY, APN

Clinical Nurse Specialist in MAYWOOD, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
701
Medicare Part D claims · 154 beneficiaries · Clinical Nurse Specialist avg: 953
Industry payments
$391.58
3 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KAREN KILEY, APN is a Clinical Nurse Specialist ([object Object]) practicing in MAYWOOD, Illinois with a Medicare Part D prescribing footprint of 701 claims across 154 beneficiaries . Industry payments of $391.58 across 3 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: KAREN KILEY, APN filed 701 Medicare Part D claims in 2023 across MAYWOOD, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

KAREN KILEY, APN at a glance

Quality data not reported

NPI registry status

Active

Issued 06/14/2007

NPI 1861696593

Primary specialty

Clinical Nurse Specialist

Niche

1,708 US NPIs in this specialty

Medicare Part D claims

701 26% vs specialty avg

2023 prescription claims

Specialty avg: 953

Specialty distribution in Illinois

How Clinical Nurse Specialist compares to other specialties among Illinois providers

Illinois providers

Clinical Nurse Specialist share within Illinois

1. Clinical Nurse Specialist42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Clinical Nurse Specialist share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Clinical Nurse Specialist (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Clinical Nurse Specialist ABMS/AOA estimate

Est. board-certified rate (Clinical Nurse Specialist) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Clinical Nurse Specialist) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KAREN KILEY, APN is a Clinical Nurse Specialist provider practicing in MAYWOOD, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APN. NPI: 1861696593. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KAREN KILEY, APN appears in the CMS NPPES registry as a Clinical Nurse Specialist provider holding APN credentials at 2160 S 1ST AVE, MAYWOOD, IL, 60153, with a listed phone of (708) 216-5913. NPI 1861696593 was issued on 06/14/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what KILEY most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 701 prescription claims written by this provider, covering 154 Medicare beneficiaries and totaling roughly $238K in drug spend, with an opioid prescribing rate of 9.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Clinical Nurse Specialist is a narrow specialty nationwide, with 1,708 enrolled providers across 49 states and an average of 953 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

2160 S 1ST AVE
MAYWOOD, IL 60153

Provider Details

NPI 1861696593
Specialty Clinical Nurse Specialist
Credentials APN
Gender Female
NPI Issued 06/14/2007

Hospital and facility affiliations

Facilities where KAREN KILEY, APN bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

LOYOLA UNIVERSITY MEDICAL CENTER
★★☆☆☆ 2/5
MAYWOOD, IL
Acute Care Hospitals
CMS CCN: 140276

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KAREN KILEY, APN. Source: openpaymentsdata.cms.gov.

Total received

$392

Largest payer

Adaptive Biotechnologies Corporation

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to KAREN KILEY, APN. To verify KAREN KILEY, APN's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

701
Total Claims
$238K
Total Drug Cost
154
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,059
Total Day Supply
29,066
Generic Drug Cost
$29K
Opioid Claims
63 (9.0% rate)
Antibiotic Claims
88

Patient Demographics

Average Patient Age
70.3 years
Avg HCC Risk Score
3.51
Gender Split
49% female / 51% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Acyclovir
135
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
52
Eliquis
Apixaban
51
Fluconazole
31
Levofloxacin
25
Ondansetron Hcl
23
Valacyclovir
Valacyclovir Hcl
22
Pantoprazole Sodium
19
Gabapentin
18
Pregabalin
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Clinical Nurse Specialist Overview

How KAREN KILEY, APN fits within the Clinical Nurse Specialist landscape nationally.

1,708
Clinical Nurse Specialist Providers in US
49
States with Clinical Nurse Specialist
953
Avg Claims per Provider

KAREN KILEY, APN's 701 claims are below the specialty average of 953.

Nearby Clinical Nurse Specialist Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as KILEY.

Compare Clinical Nurse Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is KAREN KILEY, APN's specialty?
KAREN KILEY, APN specializes in Clinical Nurse Specialist and practices in MAYWOOD, Illinois. Credentials: APN.
How much does KAREN KILEY, APN prescribe under Medicare Part D?
In 2023, KAREN KILEY, APN wrote 701 Medicare Part D claims totaling $238K in drug costs for 154 beneficiaries.
Where is KAREN KILEY, APN located?
KAREN KILEY, APN is located at 2160 S 1ST AVE, MAYWOOD, IL, 60153. Phone: (708) 216-5913.
What is KAREN KILEY, APN's NPI number?
KAREN KILEY, APN's National Provider Identifier (NPI) is 1861696593, issued on 06/14/2007.
Does KAREN KILEY, APN prescribe opioids?
Yes, KAREN KILEY, APN had 63 opioid claims in 2023 with an opioid prescribing rate of 9.0%.
How many Clinical Nurse Specialist providers are there in the US?
There are 1,708 Clinical Nurse Specialist providers across 49 states in the US. The average Clinical Nurse Specialist provider writes 953 Medicare Part D claims per year.
What drugs does KAREN KILEY, APN prescribe most often?
Based on 2023 Medicare Part D data, KAREN KILEY, APN's most frequently prescribed drugs include Acyclovir, Sulfamethoxazole-Trimethoprim, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KAREN KILEY, APN accept Medicare?
KAREN KILEY, APN appears in CMS Medicare data with 701 Part D claims and 154 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KAREN KILEY, APN's credentials?
KAREN KILEY, APN's NPI is 1861696593 with credentials APN. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology