Individual provider Active NPI

Kristen Marie Walk, APRN

  • Family Nurse Practitioner
  • Charleston, IL
National Provider Identifier
1285276162
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020263 Issued in IL
Practice address
2040 Lincoln Ave Ste 100
Charleston, IL 61920-3197
Phone
(217) 345-2030
Fax
(217) 345-2045
NPI assigned
Oct 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209020263 IL Primary

Addresses

Primary practice location

2040 Lincoln Ave Ste 100
Charleston, IL 61920-3197

Mailing address

PO Box 372
Mattoon, IL 61938-0372

Other practice location 1

200 Richmond Ave Ste 3
Mattoon, IL 61938-4450
Phone (217) 237-7000

Other practice location 2

1303 W Evergreen Ave Ste 100
Effingham, IL 62401-1638
Phone (217) 540-6123

Other practice location 3

1100 Tuscola Blvd
Tuscola, IL 61953-2065
Phone (217) 253-2020

Other practice location 4

1201 Wooddell Way Ste B
Mattoon, IL 61938-1014
Phone (217) 238-3000

Other names 1

  • Ms. Kristen Marie Bloemer Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200102000095 IL Practitioner - Nurse Practitioner 7810321726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

2040 Lincoln Ave
Suite 100
Charleston, IL 61920-3197
Phone (217) 345-2030

Hospital & facility affiliations

  • Sarah Bush Lincoln Health Center Hospital, Mattoon, IL, CCN 140189

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209020263ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crawford Hospital District CurrentSince Dec 1, 2019 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Feb 14, 2022 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Crawford Hospital District CurrentSince Dec 1, 2019 Accepting new patients
Sarah Bush Lincoln Health Center Past Accepting new patients

Locations

2040 Lincoln Ave
Ste 100
Charleston, IL 61920
Phone (217) 345-2030

1303 W Evergreen Ave
Ste 100
Effingham, IL 62401
Phone (217) 540-6123

200 Richmond Ave E
Ste 3
Mattoon, IL 61938
Phone (217) 234-7000

1201 Wooddell Way
Ste B
Mattoon, IL 61938
Phone (217) 238-3000

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

1002 N Allen St
Ste B
Robinson, IL 62454

1101 N Allen St
Robinson, IL 62454
Phone (618) 544-3125

1000 N Allen St
Robinson, IL 62454
Phone (618) 544-3131

1100 Tuscola Blvd
Tuscola, IL 61953
Phone (217) 253-2020

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1285276162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 LINCOLN AVE STE 100",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619203197",
            "telephone_number": "217-345-2030",
            "fax_number": "217-345-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Richmond Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384450",
            "country_code": "US",
            "telephone_number": "217-237-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1303 W Evergreen Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624011638",
            "country_code": "US",
            "telephone_number": "217-540-6123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Tuscola Blvd",
            "address_purpose": "LOCATION",
            "city": "Tuscola",
            "state": "IL",
            "postal_code": "619532065",
            "country_code": "US",
            "telephone_number": "217-253-2020",
            "fax_number": "217-253-4886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Wooddell Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619381014",
            "country_code": "US",
            "telephone_number": "217-238-3000",
            "fax_number": "217-238-3008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALK",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-12",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "BLOEMER",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, IL

Sources for this page

Verify at the official NPI Registry.