NPIMap

Individual provider Active NPI

Kristi M Toennies, NP

  • Nurse Practitioner
  • Decatur, IL
National Provider Identifier
1366467755
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
137122 Issued in MO
Practice address
210 W. McKinley Ave
Ste 1
Decatur, IL 62526
Phone
(217) 876-6600
Fax
(217) 876-6606
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 137122 MO Primary

Addresses

Primary practice location

210 W. McKinley Ave
Ste 1
Decatur, IL 62526

Mailing address

1052 Martin Luther King Dr
Suite 2
Centralia, IL 62801-3002
Phone (618) 436-5410

Other identifiers 1

IdentifierTypeStateIssuer
209004197MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060911000443 IL Practitioner - Nurse Practitioner 3577567296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cancer Care Specialists of Central Illinois SCGroup PAC ID 5991619116, 31 clinicians

Practice addresses (Care Compare)

1052 M L King Dr
Suite 2
Centralia, IL 62801-3002
Phone (618) 436-5410

Hospital & facility affiliations

  • Fairfield Memorial Hospital 1 Hospital, Fairfield, IL, CCN 141311
  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • Salem Township Hospital Hospital, Salem, IL, CCN 141345

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
137122MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Care Specialists of Central Illinois, S.C CurrentSince Jan 1, 2008 Accepting new patients
Cancer Care Specialists of Central Illinois, S.C. CurrentSince Jan 1, 2008 Accepting new patients
University Hematology Oncology Group Inc. Past Accepting new patients
University Hematology Oncology Inc Past Accepting new patients

Locations

9515 Holy Cross Ln
Ste 6
Breese, IL 62230
Phone (618) 416-7970

1052 M L King Dr
Ste 2
Centralia, IL 62801
Phone (618) 436-5410

210 W McKinley Ave
#1
Decatur, IL 62526
Phone (217) 877-9442

210 W McKinley Ave
Ste 1
Decatur, IL 62526
Phone (217) 876-6600

213 NW 10th St
Ste D
Fairfield, IL 62837
Phone (217) 329-3232

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGCAA

Organizations & group practices 4

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 6

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430265600000",
    "number": "1366467755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 MARTIN LUTHER KING DR",
            "address_2": "SUITE 2",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013002",
            "telephone_number": "618-436-5410",
            "fax_number": "618-436-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W. MCKINLEY AVE",
            "address_2": "STE 1",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "62526",
            "telephone_number": "217-876-6600",
            "fax_number": "217-876-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOENNIES",
        "first_name": "KRISTI",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2015-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "137122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209004197",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

Verify at the official NPI Registry.