Individual provider Active NPI

Kristina Marie Simulis

  • Registered Nurse
  • Pittsburg, IL
National Provider Identifier
1053227546
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
041362020 Issued in IL
Practice address
506 E Scranton Ave
Pittsburg, IL 62974-1114
Phone
(618) 841-2191
NPI assigned
Aug 24, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041362020 IL Primary

Addresses

Primary practice location

506 E Scranton Ave
Pittsburg, IL 62974-1114

Mailing address

506 E Scranton Ave
Pittsburg, IL 62974-1114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041362020ILMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1053227546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E SCRANTON AVE",
            "city": "PITTSBURG",
            "state": "IL",
            "postal_code": "629741114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E SCRANTON AVE",
            "city": "PITTSBURG",
            "state": "IL",
            "postal_code": "629741114",
            "telephone_number": "618-841-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMULIS",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041362020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.