KRYSTAL L NELSON APRN, CNP
NPI 1245634963
Nurse Practitioner - Family in Galesburg, IL

Active since October 09, 2014PECOS EnrolledAccepts Medicare Assignment
3375 N SEMINARY ST, GALESBURG, IL 61401(309) 344-1000(309) 344-1042 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2024, Dec 17, 2018 (2 updates tracked since 2018).

About Krystal L Nelson Aprn, Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRYSTAL L NELSON APRN, CNP (NPI 1245634963) is an individual family provider in Galesburg, Illinois, licensed in Illinois (209011952) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and maintains a secondary practice location in Macomb.

NPPES Registry Identity

NPI1245634963
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRYSTAL L NELSONCredential: APRN, CNP
Location Address3375 N SEMINARY STGalesburg, IL 61401-1251
Mailing Address3375 N Seminary StGalesburg, IL 61401-1251 · (309) 344-1000 · Fax (309) 344-1042
Fax(309) 344-1042
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2014
Enumeration DateOctober 9, 2014
Last NPPES UpdateOctober 2, 20242 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1245634963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209011952
3375 N SEMINARY ST, Galesburg, IL 61401

Other Names 1

Former Name (1)Krystal L Wagner

Secondary Practice Location 1

Location 11600 E Jackson StMacomb, IL 61455-2530 · Phone (309) 836-1700

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

Krystal L Nelson Aprn, Cnp 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.

PECOS PAC ID8123341633
PECOS Enrollment IDI20150107002281
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Krystal Nelson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
2701 17TH ST
Rock Island, IL 61201
  • Reassigned Medicare billing, Illinois enrollment
  • 159 clinicians in this Medicare group
Internal Medicine
525 E GRANT ST
Macomb, IL 61455
  • Reassigned Medicare billing, Illinois enrollment
  • 77 clinicians in this Medicare group
General Acute Care Hospital
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
Family Medicine
600 S 13TH ST, SUITE M
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
410 services192 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nutritionist
3375 N SEMINARY ST
GALESBURG, IL 61401
Family Medicine
3375 N SEMINARY ST
GALESBURG, IL 61401
Nurse Practitioner (Family)
3375 N SEMINARY ST
GALESBURG, IL 61401
Family Medicine
3375 N SEMINARY ST
GALESBURG, IL 61401
Nurse Practitioner
3375 N SEMINARY ST
GALESBURG, IL 61401
Internal Medicine (Cardiovascular Disease)
3375 N SEMINARY ST
GALESBURG, IL 61401
Nurse Practitioner
3375 N SEMINARY ST
GALESBURG, IL 61401
Family Medicine
3375 N SEMINARY ST
GALESBURG, IL 61401

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 Krystal Nelson's NPI number?

The NPI number for Krystal Nelson is 1245634963. It was assigned to this individual provider in the NPPES registry on October 9, 2014. The provider is also known as Krystal L Wagner.

Where is Krystal Nelson located?

Krystal Nelson practices at 3375 N Seminary St, Galesburg, IL 61401. The listed phone number is (309) 344-1000.

What is Krystal Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Krystal Nelson enrolled in Medicare?

Yes. Krystal Nelson 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 Krystal Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Nelson reassigns Medicare benefits to 5 organizations: Trinity Medical Center (Rock Island, IL), Mcdonough County Hospital District (Macomb, IL), Methodist Medical Center Of Illinois (Peoria, IL), Pekin Prohealth Inc (Pekin, IL) and Carle Health Medical Group (Urbana, 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 Krystal Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Krystal Nelson affiliated with any hospitals?

According to CMS data, Krystal Nelson is affiliated with Proctor Hospital, Saint Francis Medical Center, Pekin Memorial Hospital, Methodist Medical Center Of Illinois and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Krystal Nelson was last updated on October 2, 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.