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KNICHOLE LEANNE TRIPP APRN, FNP-BC
NPI 1487359394
General Practice in Goreville, IL

Active since March 31, 2023PECOS Enrolled
211 N BROADWAY, GOREVILLE, IL 62939(618) 995-1002 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2024, Mar 31, 2023 (2 updates tracked since 2023).

About Knichole Leanne Tripp Aprn, Fnp-bc NPPES

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

KNICHOLE LEANNE TRIPP APRN, FNP-BC (NPI 1487359394) is an individual general practice provider in Goreville, Illinois, licensed in Illinois (2023004504) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1487359394
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameKNICHOLE LEANNE TRIPPCredential: APRN, FNP-BC
Location Address211 N BROADWAYGoreville, IL 62939-2323
Mailing Address715 Webb Town RdTunnel Hill, IL 62972-3016 · (618) 771-6178
Phone(618) 995-1002
Sole ProprietorNo
Enumeration DateMarch 31, 2023
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1487359394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 2023004504
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
211 N BROADWAY, Goreville, IL 62939
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Other Names 1

Professional Name (2)Knichole Leanne Tripp

Secondary Practice Locations 2

Location 11003 E 5th StMetropolis, IL 62960-2311 · Phone (618) 524-7499
Location 2715 Webb Town RdTunnel Hill, IL 62972-3016 · Phone (618) 771-6178

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Knichole Leanne Tripp Aprn, Fnp-bc 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 Reassignment

Medicare enrollment records show Knichole Tripp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health, Inc.
17 mi
Federally Qualified Health Center (FQHC)
513 N MAIN ST
Anna, IL 62906
  • Reassigned Medicare billing, Illinois enrollment
  • 28 clinicians in this Medicare group
NPI 1982666384 (618) 833-4471

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

Other Providers at the Same Location NPPES 5

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

PAMELA D PULLEY RDH
Dental Hygienist
211 N BROADWAY
GOREVILLE, IL 62939
Johnson County (618) 995-1002
DR. BLAKE WILLIAM CAIN MD, MS
Family Medicine
211 N BROADWAY
GOREVILLE, IL 62939
Johnson County (618) 995-1002
JANET S WHITE PA C
Physician Assistant
211 N BROADWAY
GOREVILLE, IL 62939
Johnson County (618) 995-1002
EMILY A FINKE DMD
Dentist
211 N BROADWAY
GOREVILLE, IL 62939
Johnson County (618) 995-1002
RURAL HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
211 N BROADWAY
GOREVILLE, IL 62939
Johnson County (618) 995-1002

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 Knichole Tripp's NPI number?

The NPI number for Knichole Tripp is 1487359394. It was assigned to this individual provider in the NPPES registry on March 31, 2023. The provider is also known as Knichole Leanne Tripp.

Where is Knichole Tripp located?

Knichole Tripp practices at 211 N Broadway, Goreville, IL 62939. The listed phone number is (618) 995-1002.

What is Knichole Tripp's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Knichole Tripp enrolled in Medicare?

Yes. Knichole Tripp is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Knichole Tripp's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Knichole Tripp reassigns Medicare benefits to Rural Health, Inc. (Anna, IL). The 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 Knichole Tripp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Knichole Tripp was last updated on August 7, 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.