KRISTOPHER RHODES
NPI 1174177562
Nurse Practitioner - Primary Care in Springfield, IL
About Kristopher Rhodes NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTOPHER RHODES (NPI 1174177562) is an individual primary care provider in Springfield, Illinois, licensed in Illinois (209019639) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Decatur.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristopher Rhodes is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Kristopher Rhodes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Springfield, IL 62769
- Reassigned Medicare billing, Illinois enrollment
- 329 clinicians in this Medicare group
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 262 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILSt Marys Hospital
Acute Care Hospitals · Decatur, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristopher Rhodes's NPI number?
The NPI number for Kristopher Rhodes is 1174177562. It was assigned to this individual provider in the NPPES registry on July 24, 2019.
Where is Kristopher Rhodes located?
Kristopher Rhodes practices at 3220 Atlanta St, Springfield, IL 62707. The listed phone number is (217) 545-8000.
What is Kristopher Rhodes's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kristopher Rhodes enrolled in Medicare?
Yes. Kristopher Rhodes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kristopher Rhodes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Rhodes reassigns Medicare benefits to 2 organizations: Cep America-Illinois Hospitalists, LLP (Springfield, IL) and Board Of Trustees Of Southern Illinois University (Springfield, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristopher Rhodes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kristopher Rhodes affiliated with any hospitals?
According to CMS data, Kristopher Rhodes is affiliated with Memorial Medical Center and St Marys Hospital.
When was this NPI record last updated?
The NPPES record for Kristopher Rhodes was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kristopher Rhodes · NPI 1174177562
Primary Care physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since July 24, 2019.
## Identity
- **NPI:** 1174177562 (Entity type: Individual)
- **Enumerated:** July 24, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 209019639 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3220 ATLANTA ST, Springfield, IL 62707-8801
- **Phone:** (217) 545-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cep America-Illinois Hospitalists, LLP (NPI 1598532061, Springfield, IL); Board Of Trustees Of Southern Illinois University (NPI 1396097960, Springfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1174177562) · Data from the CMS NPPES public registry.