Krista M Carle, APN-BC
Individual provider Active NPI Nurse Practitioner · Carthage, IL
NPI 1851559751 · NPPES record last updated Jul 7, 2008
Key facts
- NPI
- 1851559751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 209007126 (IL)
- Practice address
- 630 Locust St
Carthage, IL 62321-1459 - Phone
- (217) 357-2173
- Fax
- (217) 357-3610
- NPI assigned
- May 28, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Southern Illinois University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Memorial Hospital Association
Practice addresses (Care Compare)
1454 N Co Rd 2050
PO Box 160
Carthage, IL 62321-0160
1454 N County Rd
Suite 2050
Carthage, IL 62321-0160
Phone (217) 357-8500
PO Box
Suite 160
Carthage, IL 62321-0160
Hospital & facility affiliations
- Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080925000496 | IL | Practitioner - Nurse Practitioner | 9436226958 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041.342387 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital Association | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Memorial Hospital Association | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
630 Locust St
Carthage, IL 62321
Phone (217) 357-2173
1454 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-3131
1450 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-2173
Interoperability endpoints
- kcarle584752@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041.342387 | IL | |
| Nurse Practitioner | 363L00000X | 209007126 | IL | Yes |
Addresses
Primary practice location
630 Locust St
Carthage, IL 62321-1459
Mailing address
630 Locust St
Carthage, IL 62321-1459
Phone (217) 357-2173
Other providers in Carthage, IL
- Rodney Brumley
- George Brummell
- Lindsay Brummell
- Douglas C Buelt
- Rosalinda Campos
- Philip Ralph Caropreso
- Carthage Chiropractic and Wellness Center, Inc.
- Carthage Cusd 338
- Carthage Elementary SD 317
- Chaddock Attachment and Trauma Services
All providers in Carthage, IL · Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.