Active NPI
Christin Demierre, FNP
- Family Nurse Practitioner
- Bourbonnais, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209015178
- Practice address
- 1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081 - Phone
- (815) 937-5200
- Fax
- (815) 937-2063
- NPI assigned
- Feb 20, 2017
- Sex
- Female
- Sole proprietor
- No
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.
-
- Gastroenterology Physician
- Bourbonnais, IL
- NPI 1407966302
IL
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Digestive Diseases Consultants of Kankakee SC
Practice addresses (Care Compare)
1615 N Convent St
Suite 1
Bourbonnais, IL 60914-1081
Phone (815) 937-5200
Hospital & facility affiliations
- Riverside Medical Center
- Presence St Marys Hospital
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170426002108 | IL | Practitioner - Nurse Practitioner | 6709163983 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015178 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| Digestive Diseases Consultants of Kankakee, SC | Current | Accepting new patients | |
| Associates of Integrated Medicine LTD. | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666
1615 N Convent St
Ste 1
Bourbonnais, IL 60914
Phone (815) 602-8253
350 N Wall St
Ste B302
Kankakee, IL 60901
Phone (815) 329-6500
1490 E Walnut St
Ste A
Watseka, IL 60970
Phone (815) 432-7693
1490 E Walnut St
Watseka, IL 60970
Phone (815) 432-0250
700 E Ogden Ave
Ste 202
Westmont, IL 60559
Phone (630) 528-3215
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209015178 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081
Mailing address
1615 N Convent St Ste 1
Bourbonnais, IL 60914-1081
Phone (815) 937-5200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2025.
{
"created_epoch": "1487548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1780123091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1615 N CONVENT ST STE 1",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141081",
"telephone_number": "815-937-5200",
"fax_number": "815-937-2063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 N CONVENT ST STE 1",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609141081",
"telephone_number": "815-937-5200",
"fax_number": "815-937-2063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMIERRE",
"first_name": "CHRISTIN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-20",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209015178",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.