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THERESA KRUEGER NP
NPI 1619409133
Nurse Practitioner in Sterling, IL

Active since April 03, 2017PECOS EnrolledAccepts Medicare Assignment
1809 LOCUST ST, STERLING, IL 61081(815) 625-4790 Get Directions Write a Review

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

Record update history: Apr 1, 2026, Nov 14, 2017 (2 updates tracked since 2017).

About Theresa Krueger Np NPPES

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

THERESA KRUEGER NP (NPI 1619409133) is an individual nurse practitioner in Sterling, Illinois, licensed in Illinois (209016007) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Fhn Memorial Hospital, and maintains a secondary practice location in Freeport.

NPPES Registry Identity

NPI1619409133
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA KRUEGERCredential: NP
Location Address1809 LOCUST STSterling, IL 61081-1101
Mailing Address1809 Locust StSterling, IL 61081-1101 · (815) 625-4790
Phone(815) 625-4790
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 3, 2017
Last NPPES UpdateJune 25, 20262 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1619409133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209016007
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041362828 (IL)
1809 LOCUST ST, Sterling, IL 61081
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Secondary Practice Location 1

Location 11045 W Stephenson StFreeport, IL 61032-4864 · Phone (815) 599-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MercyCare, MercyCare Health Plans and more.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

Theresa Krueger Np 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 ID4385911791
PECOS Enrollment IDI20170606000800
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 Theresa Krueger reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Freeport Memorial Hospital
35 mi
General Acute Care Hospital
1045 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 478 clinicians in this Medicare group
NPI 1447228788 (815) 599-6000
Freeport Regional Health Care Foundation
35 mi
Family Medicine
1036 W STEPHENSON ST
Freeport, IL 61032
  • Reassigned Medicare billing, Illinois enrollment
  • 391 clinicians in this Medicare group
NPI 1457337016 (815) 599-6000
Rockford Health Physicians
46 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000
Mercy Health System Corporation
69 mi
Multi-Specialty
580 N WASHINGTON ST
Janesville, WI 53548
  • Reassigned Medicare billing, Illinois enrollment
  • 671 clinicians in this Medicare group
NPI 1598718603 (608) 741-7630
Healogics Specialty Physicians Of Illinois, LLC
202 mi
Undersea and Hyperbaric Medicine
1 MEMORIAL DR
Alton, IL 62002
  • Reassigned Medicare billing, Illinois enrollment
  • 39 clinicians in this Medicare group
NPI 1215355110 (616) 433-7066

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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
156 services53 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
87 services23 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
68 services26 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
38 services37 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
33 services33 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
23 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Fhn Memorial Hospital

Acute Care Hospitals · Freeport, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140160
Location1045 West Stephenson StreetFreeport, IL 61032 · Stephenson County
Emergency services Birthing friendly

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

Javon Bea Hospital

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140239
Location8201 E Riverside BlvdRockford, IL 61114 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61081 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.

KAREN HABBEN O.T.
Occupational Therapist
1809 LOCUST ST
STERLING, IL 61081
Whiteside County (815) 625-4790
SHAWNA E KESTER PT, DPT
Physical Therapist
1809 LOCUST ST
STERLING, IL 61081
Whiteside County (815) 632-5285
LINSEY NICOLE MCBRIDE
Physical Therapist
1809 LOCUST ST
STERLING, IL 61081
Whiteside County (815) 632-5285
DREW CARROLL P.T.
Physical Therapist
1809 LOCUST ST
STERLING, IL 61081
Whiteside County (815) 622-1210
NOLAN WOLFE PT, DPT
Physical Therapist
1809 LOCUST ST
STERLING, IL 61081
Whiteside County (815) 625-4790
JENNIFER LYNN ADAMSON
Physical Therapist
1809 LOCUST ST
STERLING, IL 61081
Whiteside County (815) 632-5285
JULIE ZUIDEMA P.T.
Physical Therapist
1809 LOCUST ST
STERLING, IL 61081
Whiteside County (815) 625-4790
DUGAN CURTIS REPASS PT,DPT
Physical Therapist
1809 LOCUST ST
STERLING, IL 61081
Whiteside County (181) 563-2528

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 Theresa Krueger's NPI number?

The NPI number for Theresa Krueger is 1619409133. It was assigned to this individual provider in the NPPES registry on April 3, 2017.

Where is Theresa Krueger located?

Theresa Krueger practices at 1809 Locust St, Sterling, IL 61081. The listed phone number is (815) 625-4790.

What is Theresa Krueger's specialty?

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

Is Theresa Krueger enrolled in Medicare?

Yes. Theresa Krueger 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 Theresa Krueger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Krueger reassigns Medicare benefits to 5 organizations: Freeport Memorial Hospital (Freeport, IL), Freeport Regional Health Care Foundation (Freeport, IL), Rockford Health Physicians (Rockford, IL), Mercy Health System Corporation (Janesville, WI) and Healogics Specialty Physicians Of Illinois, LLC (Alton, 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 Theresa Krueger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Krueger accept?

Health plans from Anthem Blue Cross and Blue Shield, MercyCare, MercyCare Health Plans and Quartz list Theresa Krueger 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 Theresa Krueger affiliated with any hospitals?

According to CMS data, Theresa Krueger is affiliated with Fhn Memorial Hospital, Methodist Medical Center Of Illinois and Javon Bea Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Krueger was last updated on June 25, 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.