Individual provider Active NPI

Kristen Thompson

  • Family Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1992263099
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018927 Issued in IL
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

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 FoundationGroup PAC ID 1153363577, 10 clinicians
Midwest Allergy Sinus Asthma SCGroup PAC ID 3870722283, 9 clinicians

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 Hospital, Hopedale, IL, CCN 141330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Allergy Sinus Asthma S.C. CurrentSince May 18, 2021 Accepting new patients
Hopedale Medical Foundation CurrentSince Oct 11, 2025 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.