Active NPI
Kristen Thompson
- Family Nurse Practitioner
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209018927
- Practice address
- 2426 W Cornerstone CT Ste 100
Peoria, IL 61614-2400 - Phone
- (309) 966-3137
- NPI assigned
- Mar 7, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 209018927 | IL | Primary |
Addresses
Primary practice location
2426 W Cornerstone CT Ste 100
Peoria, IL 61614-2400
Mailing address
419 N Toepfer St
Tremont, IL 61568-8139
Phone (309) 349-4236
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 |
|---|---|---|---|---|
| I20210519002399 | IL | Practitioner - Nurse Practitioner | 2062811243 | Reassigns benefits to 2 organizations |
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
- Hopedale Medical FoundationMidwest Allergy Sinus Asthma SC
Practice addresses (Care Compare)
107 Tremont St
Hoepdale, IL 61747-7525
Phone (309) 449-3321
2010 Jacobssen Dr
Normal, IL 61761-6280
Phone (309) 452-0995
Hospital & facility affiliations
- Hopedale Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Allergy Sinus Asthma S.C. | Current | Accepting new patients | |
| Hopedale Medical Foundation | Current | Accepting new patients |
Locations
107 Tremont St
Hopedale, IL 61747
Phone (309) 343-1000
2010 Jacobssen Dr
Normal, IL 61761
Phone (309) 452-0995
Interoperability endpoints
- https://api.platform.athenahealth.com/9233/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Hopedale, IL
- NPI 1801033071
IL
-
- Critical Access Hospital
- Hopedale, IL
- NPI 1174569438
-
- Medicare Defined Swing Bed Hospital Unit
- Hopedale, IL
- NPI 1194857490
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": "1551916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1992263099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 N TOEPFER ST",
"city": "TREMONT",
"state": "IL",
"postal_code": "615688139",
"telephone_number": "309-349-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2426 W CORNERSTONE CT STE 100",
"city": "PEORIA",
"state": "IL",
"postal_code": "616142400",
"telephone_number": "309-966-3137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209018927",
"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 Mar 7, 2019; 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.