Individual provider Active NPI

Kristin Michelle Cyrier, NP-C

  • Family Nurse Practitioner
  • Kankakee, IL
National Provider Identifier
1922571397
Registry record updated Feb 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018875 Issued in IL
Practice address
375 N Wall St Ste P530
Kankakee, IL 60901-3486
Phone
(815) 932-7200
Fax
(815) 935-7874
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041402137 IL
Family Nurse Practitioner 363LF0000X 209018875 IL Primary

Addresses

Primary practice location

375 N Wall St Ste P530
Kankakee, IL 60901-3486

Mailing address

375 N Wall St Ste P530
Kankakee, IL 60901-3486
Phone (815) 932-7200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190319001148 IL Practitioner - Nurse Practitioner 9739429366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians

Practice addresses (Care Compare)

375 N Wall St
P520
Kankakee, IL 60901-3493
Phone (815) 933-0194

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041402137ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince Mar 1, 2019 Accepting new patients
Riverside Health System CurrentSince Mar 1, 2019 Accepting new patients

Locations

300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666

375 N Wall St
Ste P530
Kankakee, IL 60901
Phone (815) 932-7200

350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500

375 N Wall St
Ste P520
Kankakee, IL 60901
Phone (815) 933-0194

401 N Wall St
Ste 208
Kankakee, IL 60901
Phone (815) 935-1161

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

Interoperability endpoints

  • Direct secure messaging: kcyrier7874@direct.riversidehealthcare.net

Organizations & group practices 2

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 1

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1922571397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 N WALL ST STE P530",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013486",
            "telephone_number": "815-932-7200",
            "fax_number": "815-935-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 N WALL ST STE P530",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609013486",
            "telephone_number": "815-932-7200",
            "fax_number": "815-935-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYRIER",
        "first_name": "KRISTIN",
        "middle_name": "MICHELLE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041402137",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

Verify at the official NPI Registry.