Active NPI
Kisha Turner, FNP-BC
- Nurse Practitioner
- Freeport, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209-011119
- Practice address
- 1045 W Stephenson St
Freeport, IL 61032-4864 - Phone
- (815) 599-6105
- NPI assigned
- Dec 12, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 16747230 | WI | |
| Registered Nurse | 163W00000X | 041355450 | IL | |
| Nurse Practitioner | 363L00000X | 209-011119 | IL | Primary |
Addresses
Primary practice location
1045 W Stephenson St
Freeport, IL 61032-4864
Mailing address
PO Box 1567
Rockford, IL 61110-0067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140318001227 | IL | Practitioner - Nurse Practitioner | 2769613694 | Reassigns benefits to 5 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Freeport Memorial HospitalRochelle Community Hospital Association
Practice addresses (Care Compare)
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
900 N 2ND St
Rochelle, IL 61068-1764
Phone (815) 562-2181
Hospital & facility affiliations
- FHN Memorial Hospital
- Rochelle Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041355450 | IL | MD | Registered Nurse |
| 16747230 | WI | MD | Registered Nurse |
| 209-011119 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockford Health Physicians | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Rochelle Community Hospital Association | Nurse Practitioner | Current | Accepting new patients |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Rochelle Community Hospital Association | Current | Accepting new patients | |
| Cepamerica Illinois LLP | Current | Accepting new patients | |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Rochelle Community Hospital Association | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
900 N 2nd St
Ste 200
Rochelle, IL 61068
Phone (815) 562-2181
900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181
2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Rochelle, IL
- NPI 1568518322
IL, Nurse Practitioner
-
- Medicare Defined Swing Bed Hospital Unit
- Rochelle, IL
- NPI 1346207669
-
- Community Based Hospice Care Agency
- Freeport, IL
- NPI 1033146279
-
- Emergency Medicine Physician
- Berwyn, IL
- NPI 1548546427
-
- Emergency Medicine Physician
- Springfield, IL
- NPI 1871360297
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Rochelle, IL
- NPI 1821053216
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1083045231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1567",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611100067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1045 W STEPHENSON ST",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610324864",
"telephone_number": "815-599-6105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURNER",
"first_name": "KISHA",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2021-12-22",
"certification_date": "2021-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "16747230",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041355450",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209-011119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; 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.