Individual provider Active NPI

Norma J Kreilein, MD

  • Pediatrics Physician
  • Washington, IN
National Provider Identifier
1851376388
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01037533 Issued in IN
Practice address
1402 Grand Ave
Washington, IN 47501-2122
Phone
(812) 254-7310
Fax
(812) 257-8602
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036149288 IL
Pediatrics Physician 208000000X 01037533 IN Primary

Addresses

Primary practice location

1402 Grand Ave
Washington, IN 47501-2122

Mailing address

PO Box 760
Washington, IN 47501-0760
Phone (812) 254-7310

Other practice location 1

1045 W Stephenson St
Freeport, IL 61032-4899
Phone (815) 599-6000

Other identifiers 5

IdentifierTypeStateIssuer
000000291248OtherBCBS
100270240CMedicaidIN
100110590AMedicaidIN
450494518101OtherINCARE SOURCE
100270240AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191002001396 IL Practitioner - Pediatric Medicine 2567792666 Reassigns benefits to 4 organizations
I20260108000075 WI Practitioner - Pediatric Medicine 2567792666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Indiana University School of Medicine, 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 249
Fort Atkinson, WI 53538

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036149288ILMDPediatrics Physician
01037533INMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Memorial Hospital, Inc CurrentSince Aug 21, 2019 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Aug 21, 2019 Accepting new patients
Fort Healthcare Inc CurrentSince Nov 19, 2025 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince Dec 28, 2024 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Fort Healthcare Inc Past Accepting new patients

Locations

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1200 N East St
Olney, IL 62450
Phone (618) 392-2940

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1851376388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 760",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475010760",
            "telephone_number": "812-254-7310",
            "fax_number": "812-257-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 GRAND AVE",
            "city": "WASHINGTON",
            "state": "IN",
            "postal_code": "475012122",
            "telephone_number": "812-254-7310",
            "fax_number": "812-257-8602"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324899",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "fax_number": "815-599-7974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREILEIN",
        "first_name": "NORMA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036149288",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01037533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000291248",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270240C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110590A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE SOURCE",
            "identifier": "450494518101",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100270240A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IN

Sources for this page

Verify at the official NPI Registry.