KRISTINA SOUTHERLAND FNP
NPI 1528600277
Nurse Practitioner in Chicago Ridge, IL
About Kristina Southerland Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA SOUTHERLAND FNP (NPI 1528600277) is an individual nurse practitioner in Chicago Ridge, Illinois, licensed in Illinois (209020105) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Advocate Trinity Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
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
Kristina Southerland Fnp 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 Reassignment
Medicare enrollment records show Kristina Southerland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oak Lawn, IL 60453
- Reassigned Medicare billing, Illinois enrollment
- 4,870 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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Advocate Trinity Hospital
Acute Care Hospitals · Chicago, ILAdventist La Grange Memorial Hospital
Acute Care Hospitals · La Grange, ILRiverside Medical Center
Acute Care Hospitals · Kankakee, ILAdvocate Christ Hospital & Medical Center
Acute Care Hospitals · Oak Lawn, ILAdvocate Good Samaritan Hospital
Acute Care Hospitals · Downers Grove, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60415 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO RIDGE, IL 60415
CHICAGO RIDGE, IL 60415
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 Kristina Southerland's NPI number?
The NPI number for Kristina Southerland is 1528600277. It was assigned to this individual provider in the NPPES registry on October 15, 2019.
Where is Kristina Southerland located?
Kristina Southerland practices at 10604 Southwest Hwy Ste 101, Chicago Ridge, IL 60415. The listed phone number is (708) 346-4065.
What is Kristina Southerland's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kristina Southerland enrolled in Medicare?
Yes. Kristina Southerland 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 organization bills Medicare for Kristina Southerland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Southerland reassigns Medicare benefits to Advocate Health And Hospitals Corporation (Oak Lawn, 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 Kristina Southerland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristina Southerland accept?
Health plans from Oscar Health list Kristina Southerland 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.
Is Kristina Southerland affiliated with any hospitals?
According to CMS data, Kristina Southerland is affiliated with Advocate Trinity Hospital, Adventist La Grange Memorial Hospital, Riverside Medical Center, Advocate Christ Hospital & Medical Center and Advocate Good Samaritan Hospital.
When was this NPI record last updated?
The NPPES record for Kristina Southerland was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Kristina Southerland, FNP · NPI 1528600277
Nurse Practitioner physician in Chicago Ridge, Illinois. Individual provider, active in the CMS NPPES registry since October 15, 2019.
## Identity
- **NPI:** 1528600277 (Entity type: Individual)
- **Enumerated:** October 15, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209020105 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10604 SOUTHWEST HWY STE 101, Chicago Ridge, IL 60415-2704
- **Phone:** (708) 346-4065 · **Fax:** (708) 423-5799
## 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:** Advocate Health And Hospitals Corporation (NPI 1174747075, Oak Lawn, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528600277) · Data from the CMS NPPES public registry.