KRISTIN MCDONALD APRN
NPI 1609401405
Nurse Practitioner in Marion, IL

Q: What is Kristin Mcdonald's NPI number?

The NPI number for Kristin Mcdonald is 1609401405. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Q: What is Kristin Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Mcdonald was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 12, 2020PECOS EnrolledAccepts Medicare Assignment

3111 WILLIAMSON COUNTY PKWY, MARION, IL 62959(618) 519-9200(618) 985-9155 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2026, Feb 4, 2026, Jan 20, 2026 and 3 more (6 updates tracked since 2020).

On this page

About Kristin Mcdonald Aprn NPPES

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

KRISTIN MCDONALD APRN (NPI 1609401405) is an individual nurse practitioner in Marion, Illinois, licensed in Illinois (209.020587) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609401405

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKRISTIN MCDONALDCredential: APRN

Location Address3111 WILLIAMSON COUNTY PKWYMarion, IL 62959-5235

Mailing Address109 California StCarterville, IL 62918-1923 · (618) 519-9200 · Fax (618) 985-4635

Phone(618) 519-9200

Fax(618) 985-9155

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 12, 2020

Last NPPES UpdateApril 2, 20266 updates tracked since enumeration

NPPES CertifiedApril 2, 2026

✔ NPI 1609401405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.020587

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3111 WILLIAMSON COUNTY PKWY, Marion, IL 62959

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Secondary Practice Locations 2

Location 1315 S 13th St Ste 2Herrin, IL 62948-3666 · Phone (618) 942-5883 · Fax (618) 351-4853

Location 2305 W Jackson St Ste 301Carbondale, IL 62901-1474 · Phone (618) 529-0520 · Fax (618) 529-0519

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kristin Mcdonald Aprn 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 ID4789013137

PECOS Enrollment IDI20200406001552

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.

Hospital Affiliations CMS Care Compare 3

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140011

Location201 S 14th StHerrin, IL 62948 · Williamson County

Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number140184

Location3333 W DeyoungMarion, IL 62959 · Williamson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62959 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers18 claims34 services$3.70 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier19 claims20 services$17.61 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers13 claims13 services$6.80 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers21 claims21 services$50.48 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers21 claims22 services$91.13 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

3 suppliers26 claims5,999 services$0.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CHARLES K HEES PH.D.

Psychologist (Counseling)

3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959

Williamson County (618) 997-3647

MRS. LEIGH ANN HERTTER PTA

Physical Therapy Assistant

3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959

Williamson County (618) 998-9894

TIFFANY TODD LCSW

Social Worker (Clinical)

3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959

Williamson County (618) 519-9200

MARY LOUISE GRAY

Registered Nurse (Psychiatric/Mental Health)

3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959

Williamson County (618) 997-3647

CHESI MARION CENTRE CLINIC

Clinic/Center

3111 WILLIAMSON COUNTY PKWY, OFFICE A3
MARION, IL 62959

Williamson County (618) 734-4400

MRS. LIUDMILA VASILETS MD

Internal Medicine

3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959

Williamson County (618) 519-9200

MRS. MONETTE R LOGUE BSW

Counselor (Mental Health)

3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959

Williamson County (618) 997-3647

CNETERSTONE OF ILLINOIS INC

Community/Behavioral Health

3111 WILLIAMSON COUNTY PKWY
MARION, IL 62959

Williamson County (618) 937-6483

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 Mcdonald's NPI number?

The NPI number for Kristin Mcdonald is 1609401405. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Where is Kristin Mcdonald located?

Kristin Mcdonald practices at 3111 Williamson County Pkwy, Marion, IL 62959. The listed phone number is (618) 519-9200.

What is Kristin Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kristin Mcdonald enrolled in Medicare?

Yes. Kristin Mcdonald 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.

What insurance does Kristin Mcdonald accept?

Health plans from UnitedHealthcare list Kristin Mcdonald 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 Kristin Mcdonald affiliated with any hospitals?

According to CMS data, Kristin Mcdonald is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale and Heartland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kristin Mcdonald was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.