Active NPI
Kristene Mychelle Flanagan, APRN
- Family Nurse Practitioner
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.022864
- Practice address
- 1001 Main St Ste 500a
Peoria, IL 61606-2038 - Phone
- (309) 672-4980
- NPI assigned
- May 28, 2021
- Last updated
- Dec 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.022864 | IL | Primary |
Addresses
Primary practice location
1001 Main St Ste 500a
Peoria, IL 61606-2038
Mailing address
1001 Main St Ste 500a
Peoria, IL 61606-2038
Phone (309) 696-9279
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5105 N Glen Park Place Rd
Peoria, IL 61614-4688
Phone (309) 308-5900
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.21 of 100
- Quality
- 67.65
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 80.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.022864 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Family | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Illinois Gastroenterology Group, LLC | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Michael D. Tarantino, M.D. S.C. | Current | Accepting new patients | |
| Northwest Gastroenterologists SC | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Elgin Gastroenterology SC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Elgin Gastroenterology Endoscopy Center LLC | Current | Accepting new patients |
Locations
745 Fletcher Dr
Ste 202
Elgin, IL 60123
Phone (855) 483-7362
2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246
1001 Main St
Ste 500A
Peoria, IL 61606
Phone (309) 672-4980
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 696-9857
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
427 W Northmoor Rd
Peoria, IL 61614
Phone (309) 692-5337
5105 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 308-5900
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1316277817
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Pediatric Hematology & Oncology Physician
- Peoria, IL
- NPI 1740430784
-
dba The Endo Center of Elgin Gastroenterology
- Ambulatory Surgical Clinic/Center
- Elgin, IL
- NPI 1992875454
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
-
- Specialist
- Arlington Heights, IL
- NPI 1801886221
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1629644836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN ST STE 500A",
"city": "PEORIA",
"state": "IL",
"postal_code": "616062038",
"telephone_number": "309-696-9279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST STE 500A",
"city": "PEORIA",
"state": "IL",
"postal_code": "616062038",
"telephone_number": "309-672-4980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "KRISTENE",
"middle_name": "MYCHELLE",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-28",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.022864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.