Active NPI
Christina M White, FNP
- Nurse Practitioner
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2021039723
- Practice address
- 3131 N Water St
Decatur, IL 62526-2472 - Phone
- (217) 876-5320
- Fax
- (217) 876-5865
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209021403 | IL | |
| Nurse Practitioner | 363L00000X | 2021039723 | MO | Primary |
Addresses
Primary practice location
3131 N Water St
Decatur, IL 62526-2472
Mailing address
PO Box 3428
Springfield, IL 62708-3428
Phone (800) 577-5368
Other practice location 1
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1906
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041454086 | Other | IL | RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1906
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone (314) 617-2000
6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.94 of 100
- Quality
- 68.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.22
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.15 of 100
- Quality
- 88.15
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021039723 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| Cep America, LLC | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| SSM Medical Group Inc. | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1011 Bowles Ave
Ste 425
Fenton, MO 63026
Phone (636) 326-2600
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1201 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 257-8222
6400 Clayton Rd
Ste 201
Saint Louis, MO 63117
Phone (314) 781-8405
1225 S Grand Blvd
#2L
Saint Louis, MO 63104
Phone (314) 977-4700
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Interoperability endpoints
- cwhite1219023@directc.mercy.net
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Saint Louis, MO
- NPI 1619332046
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Richmond Heights, MO
- NPI 1942855366
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Durable Medical Equipment & Medical Supplies
- Fenton, MO
- NPI 1124579966
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1073123055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3428",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627083428",
"telephone_number": "800-577-5368",
"fax_number": "217-757-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 N WATER ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625262472",
"telephone_number": "217-876-5320",
"fax_number": "217-876-5865"
}
],
"practiceLocations": [
{
"address_1": "10010 Kennerly Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631282106",
"country_code": "US",
"telephone_number": "314-525-1906",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WHITE",
"first_name": "CHRISTINA",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209021403",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2021039723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN",
"identifier": "041454086",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.