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KRISTIN NICOLE WILMES
NPI 1265706337
Pediatrics in Mascoutah, IL

Active since March 06, 2012PECOS Enrolled
800 TANZANITE LN, MASCOUTAH, IL 62258(618) 567-0336 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2020, Mar 16, 2017 (2 updates tracked since 2017).

About Kristin Nicole Wilmes NPPES

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

KRISTIN NICOLE WILMES (NPI 1265706337) is an individual pediatrics provider in Mascoutah, Illinois, licensed in Missouri (2004020402) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265706337
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRISTIN NICOLE WILMES
Location Address800 TANZANITE LNMascoutah, IL 62258-2953
Mailing Address1465 S Grand BlvdSaint Louis, MO 63104-1003 · (618) 567-0336
Phone(618) 567-0336
Sole ProprietorNo
Enumeration DateMarch 6, 2012
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1265706337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2004020402
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 2004020402 (MO)
800 TANZANITE LN, Mascoutah, IL 62258
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristin Nicole Wilmes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Kristin Wilmes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ssm Cardinal Glennon Childrens Hospital
7.6 mi
Pediatrics
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Missouri enrollment
  • Medicare enrollment name: Ssm Cardinal Glennon Children's Hospital
  • 414 clinicians in this Medicare group
NPI 1174577670 (618) 234-2120
Ssm Health Care St. Louis
30 mi
Emergency Medicine
6420 CLAYTON RD
Saint Louis, MO 63117
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1366400855 (314) 768-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62258 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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 Kristin Wilmes's NPI number?

The NPI number for Kristin Wilmes is 1265706337. It was assigned to this individual provider in the NPPES registry on March 6, 2012.

Where is Kristin Wilmes located?

Kristin Wilmes practices at 800 Tanzanite Ln, Mascoutah, IL 62258. The listed phone number is (618) 567-0336.

What is Kristin Wilmes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kristin Wilmes enrolled in Medicare?

Yes. Kristin Wilmes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kristin Wilmes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Wilmes reassigns Medicare benefits to 2 organizations: Ssm Cardinal Glennon Childrens Hospital (O Fallon, IL) and Ssm Health Care St. Louis (Saint Louis, MO). 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 Kristin Wilmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Wilmes accept?

Health plans from Anthem Blue Cross and Blue Shield list Kristin Wilmes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristin Wilmes was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.