Katherine A Krall, CFNP
Individual provider Active NPI Family Nurse Practitioner · Petersburg, IL
NPI 1104891092 · NPPES record last updated Jun 1, 2011
Key facts
- NPI
- 1104891092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209000677 (IL)
- Practice address
- 1 Centre Dr
Petersburg, IL 62675-9584 - Phone
- (217) 632-7761
- Fax
- (217) 632-0312
- NPI assigned
- Feb 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Menard Medical Center, LLC
Memorial Physician Services
Practice addresses (Care Compare)
1 Centre Dr
Petersburg, IL 62675-9467
101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 588-2600
Hospital & facility affiliations
- Memorial Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.44 of 100
- Quality
- 71.79
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.71
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060830000076 | IL | Practitioner - Nurse Practitioner | 9537163894 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209000677 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Physician Services | Current |
Accepting new patients | |
| Springfield Clinic LLP | Current | Accepting new patients | |
| Memorial Health Partners | Current | Accepting new patients | |
| Memorial Physician Services | Current |
Accepting new patients | |
| Memorial Physician Services | Current | Accepting new patients | |
| Family Medical Center of Chatham, LLC | Current | Accepting new patients | |
| Midwest Emergency Department Specialists LTD | Past | Accepting new patients |
Locations
101 E Plummer Blvd
Chatham, IL 62629
Phone (217) 483-3487
515 N College St
Lincoln, IL 62656
Phone (217) 732-9681
1 Centre Dr
Petersburg, IL 62675
Phone (217) 632-7599
3132 Old Jacksonville Rd
Springfield, IL 62704
Phone (217) 862-0062
701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100
Interoperability endpoints
- katherinekrall@memorial.allscriptsdirect.net
- katherinekrall@sfc.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209000677 | IL | Yes |
Addresses
Primary practice location
1 Centre Dr
Petersburg, IL 62675-9584
Mailing address
1 Centre Dr
Petersburg, IL 62675-9584
Phone (217) 632-7761
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041-225148 | Other | IL | RN LICENSE |
Other providers in Petersburg, IL
- Healthcare Network Associates
- Amanda Hill
- Thelma Hinton
- Mary N Hollis
- Hillary Maria Kelly
- Amanda L. Meeks
- Memorial Physician Services
- Menard Convalescent Center, Inc
- Menard Convalescent Center, Inc
- Menard County Health Department
All providers in Petersburg, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.