KRISTINA NICOLE SMITH APRN,FNP-C
NPI 1790333540
Nurse Practitioner - Family in Mattoon, IL

Active since August 26, 2019PECOS EnrolledAccepts Medicare Assignment
91.8/100
CMS Quality Rating
1201 WOODDELL WAY STE B, MATTOON, IL 61938(217) 238-3000(217) 238-3008 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Aug 16, 2022, Feb 18, 2021 and 1 more (4 updates tracked since 2019).

About Kristina Nicole Smith Aprn,fnp-c NPPES

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

KRISTINA NICOLE SMITH APRN,FNP-C (NPI 1790333540) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209019250) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1790333540
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINA NICOLE SMITHCredential: APRN,FNP-C
Location Address1201 WOODDELL WAY STE BMattoon, IL 61938-1014
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Fax(217) 238-3008
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 26, 2019
Last NPPES UpdateNovember 5, 20244 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
NPI 1790333540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209019250
1201 WOODDELL WAY STE B, Mattoon, IL 61938

Secondary Practice Locations 3

Location 11303 W Evergreen Ave Ste 100Effingham, IL 62401-1638 · Phone (217) 540-6123
Location 22040 Lincoln Ave Ste 100Charleston, IL 61920-3197 · Phone (217) 345-2030 · Fax (217) 345-2045
Location 31100 Tuscola BlvdTuscola, IL 61953-2065 · Phone (217) 253-2020 · Fax (217) 253-4886

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

Kristina Nicole Smith Aprn,fnp-c 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 ID244631489
PECOS Enrollment IDI20210625001389
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
204 services194 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services22 patients
Detection test by nucleic acid for multiple types influenza virus 87502
A detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.59
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$9.90 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 8

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

Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Physician Assistant
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Nurse Practitioner (Family)
1201 WOODDELL WAY STE B
MATTOON, IL 61938
Nurse Practitioner
1201 WOODDELL WAY STE B
MATTOON, IL 61938

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 Smith's NPI number?

The NPI number for Kristina Smith is 1790333540. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Kristina Smith located?

Kristina Smith practices at 1201 Wooddell Way Ste B, Mattoon, IL 61938. The listed phone number is (217) 238-3000.

What is Kristina Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristina Smith enrolled in Medicare?

Yes. Kristina Smith 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.

Is Kristina Smith affiliated with any hospitals?

According to CMS data, Kristina Smith is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Kristina Smith was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.