Koby Kimball, PA-C
Physician Assistant · Springfield, IL
Koby Kimball, PA-C is a physician assistant with a practice address in Springfield, Illinois, and NPI 1184338550, issued on Jan 10, 2023. Check the license with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Koby Kimball
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 619 E Mason St, Springfield, IL 62701
- Phone
- (217) 788-0706
- Enumerated
- Jan 10, 2023
- Record last updated
- Sep 16, 2025
- Fax
- (217) 525-2535
- Medicare enrollment
- Enrolled (PECOS I20250818000587); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,926 in Illinois → Look up another NPI →
Also registered at 619 E Mason St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jennifer Black, N.P.Adult Health Nurse Practitioner1174607576
- Melissa Clark, PA-CPhysician Assistant1598776882
- Margie DouglasAdult Health Nurse Practitioner1154623585
Verify Koby Kimball in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Illinois board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Prairie Cardiovascular Consultants LtdSpringfield, IL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Koby Kimball among 4,926 physician assistant records in Illinois
Koby Kimball, PA-C is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 78% of them.
- NPI issued2023 · 78% of these records are older, 17% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 69% of these records are
- Graduated2025 · median 2019 among the 3,407 with a school on file
- Record last updated2025 · 35% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
103 physician assistant records list a practice address in Springfield
They are 103 of the 4,997 NPPES records with a practice address in Springfield, and 4,926 physician assistant records in Illinois.
All 4,926 in Illinois → Every provider in Springfield → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Elinor Berry, P.A.-CSpringfield, IL 627011578664801
- Marissa Butcher, PA-CSpringfield, IL 627011821493040
- Melissa Clark, PA-CSpringfield, IL 627011598776882
- Alison Gryczewski, PA-CSpringfield, IL 627011942952403
- Colleen Kelly, PASpringfield, IL 627011568695799
- Jerry Priddy, PA-CSpringfield, IL 627011003351115
- Meagan Redoutey, PA-CSpringfield, IL 627011922669191
- Austin Stallings, PA-CSpringfield, IL 627011770032948
Common questions
What is Koby Kimball, PA-C's NPI number?
Koby Kimball, PA-C's National Provider Identifier (NPI) is 1184338550, issued on Jan 10, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Koby Kimball, PA-C located?
The NPPES record lists a practice address at 619 E Mason St, Springfield, IL, 62701. Phone: (217) 788-0706. Providers update this record themselves, so call before visiting.
How can I verify Koby Kimball, PA-C's license?
Search the Illinois board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.