Kristina Kay Mershon

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209013657 Issued in IL

Practice address

2600 N Brinton Ave
Dixon, IL 61021-9532

Phone

(815) 288-5561

NPI assigned

Mar 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sinnissippi Centers IncGroup PAC ID 3476459876, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Saint Katharine Medical Center Hospital, Dixon, IL, CCN 140012
• CGH Medical Center Hospital, Sterling, IL, CCN 140043

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochelle, IL
  • NPI 1407143837
  Medicare reassignment Care Compare group NPD
• Sinnissippi Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sterling, IL
  • NPI 1205123635
  NPD
• Sinnissippi Centers, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Dixon, IL
  • NPI 1538447313
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  Care Compare affiliation
• Osf Healthcare System

  • General Acute Care Hospital
  • Dixon, IL
  • NPI 1508683590
  Care Compare affiliation

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1104287630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 BEACH RD",
            "city": "ASHTON",
            "state": "IL",
            "postal_code": "610069422",
            "telephone_number": "815-761-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N BRINTON AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610219532",
            "telephone_number": "815-288-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERSHON",
        "first_name": "KRISTINA",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209013657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jean Meltz
• Anita Jane Meltzer, BSW, MHP
• Eugenio L Mendoza IV, MD
• Carrie Ann Menet, O.D.
• Karen Lynn Merlak, MHP
• Rae Lynn Metzler8
• Nadeem Muhammad Mian, M.D.
• Michael W. Mathewson, D.D.S., P.C.
• Midwest Audiology Inc.
• Midwest Nephrology Group, LLC

• Family Nurse Practitioner in Dixon, IL
• Providers in Dixon, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.

Verify at the official NPI Registry.