MRS. KRISTA M CARLE APN-BC
NPI 1851559751
Nurse Practitioner in Carthage, IL
About Mrs. Krista M Carle Apn-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KRISTA M CARLE APN-BC (NPI 1851559751) is an individual nurse practitioner in Carthage, Illinois, licensed in Illinois (209007126) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Southern Illinois University School Of Medicine (2008).
NPPES Registry Identity
Specialties & Licenses 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
Mrs. Krista M Carle Apn-bc 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 Krista Carle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carthage, IL 62321
- Reassigned Medicare billing, Illinois enrollment
- 78 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital
Critical Access Hospitals · Carthage, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62321 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Krista Carle's NPI number?
The NPI number for Krista Carle is 1851559751. It was assigned to this individual provider in the NPPES registry on May 28, 2008.
Where is Krista Carle located?
Krista Carle practices at 630 Locust St, Carthage, IL 62321. The listed phone number is (217) 357-2173.
What is Krista Carle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Krista Carle enrolled in Medicare?
Yes. Krista Carle 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 Krista Carle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krista Carle reassigns Medicare benefits to Memorial Hospital Association (Carthage, 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 Krista Carle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krista Carle accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Krista Carle 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 Krista Carle affiliated with any hospitals?
According to CMS data, Krista Carle is affiliated with Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Krista Carle was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mrs. Krista M Carle, APN-BC · NPI 1851559751
Nurse Practitioner physician in Carthage, Illinois. Individual provider, active in the CMS NPPES registry since May 28, 2008.
## Identity
- **NPI:** 1851559751 (Entity type: Individual)
- **Enumerated:** May 28, 2008
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 209007126 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 630 LOCUST ST, Carthage, IL 62321-1459
- **Phone:** (217) 357-2173 · **Fax:** (217) 357-3610
## 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:** Memorial Hospital Association (NPI 1205887742, Carthage, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern Illinois University School Of Medicine, class of 2008
## Record status
- **NPPES last updated:** July 7, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1851559751) · Data from the CMS NPPES public registry.