Jennifer E Kistner (NPI# 1972892313, PAC ID# 3072748771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972892313 |
| PAC ID by PECOS | 3072748771 |
| Professional Enrollment ID | I20131106000282 |
| Full Name | Jennifer E Kistner |
| Organization Legal Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Address |
203 S Main St Dieterich IL 62424-1128 |
| Phone Number | 2179255730 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0446159735 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140189 | SARAH BUSH LINCOLN HEALTH CENTER |
| 140032 | ST ANTHONYS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 203 S Main St, Dieterich, IL 62424-1128 | 2179255730 | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Organization Legal Name | MID-ILLINOIS MEDICAL CARE ASSOCIATES LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Bryant | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 1000 Red Ball Trl, Greenville, IL 62246-2781 |
| Bernard H Habing | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 206 N Pearl St, Teutopolis, IL 62467-1134 |
| Andrew R Gage | Family Medicine | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Becky L Mcginnis | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| John P. Opilka | Family Medicine | Mid-illinois Medical Care Associates LLC | 5 E Cumberland Rd, Altamont, IL 62411-1271 |
| Eric Anthony Bloemer | Family Medicine | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| Kendra L Zerrusen | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Stacia Fallert | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 601 W Washington St, Suite 1, Newton, IL 62448-1249 |
| Carol R Warfield | Nurse Practitioner | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Sean P Flynn | Family Medicine | Mid-illinois Medical Care Associates LLC | 512 N Maple St, Effingham, IL 62401-2005 |
| Street Address |
203 S MAIN ST |
| City | DIETERICH |
| State | IL |
| Zip | 62424-1128 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanya R Curtis | Qualified Speech Language Pathologist | 203 S Main St, Sheridan, MT 59749-7740 | |
| Leonidas S Andres | General Surgery | 203 S Main St, Suite 1, Anahuac, TX 77514 | |
| Catherine Ann Dowd | Chiropractic | 203 S Main St, Suite D, Grain Valley, MO 64029-9703 | |
| Paul L Hill | Chiropractic | 203 S Main St, Alta, IA 51002-1345 | |
| Anne M Malena | Clinical Social Worker | Spring Lake Counseling Center, Pllc | 203 S Main St, Spring Lake, NC 28390-3902 |
| City | DIETERICH |
| Zip Code | 62424 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | DIETERICH + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jennifer E Kistner.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.