DENISE J KRONE FNP,BC
NPI 1902163942
Nurse Practitioner - Family in East Saint Louis, IL
About Denise J Krone Fnp,bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENISE J KRONE FNP,BC (NPI 1902163942) is an individual family provider in East Saint Louis, Illinois, licensed in Illinois (209-009486) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, is affiliated with Sparta Community Hospital, and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
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
Denise J Krone Fnp,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 Reassignments
5Medicare enrollment records show Denise Krone reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Saint Louis, IL 62205
- Reassigned Medicare billing, Illinois enrollment
- 164 clinicians in this Medicare group
Granite City, IL 62040
- Reassigned Medicare billing, Illinois enrollment
- 107 clinicians in this Medicare group
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 145 clinicians in this Medicare group
Sparta, IL 62286
- Reassigned Medicare billing, Illinois enrollment
- 51 clinicians in this Medicare group
Chicago, IL 60641
- Reassigned Medicare billing, Illinois enrollment
- 366 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.
Sparta Community Hospital
Critical Access Hospitals · Sparta, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62205 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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST SAINT LOUIS, IL 62205
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 Denise Krone's NPI number?
The NPI number for Denise Krone is 1902163942. It was assigned to this individual provider in the NPPES registry on April 16, 2012.
Where is Denise Krone located?
Denise Krone practices at 2001 State St, East Saint Louis, IL 62205. The listed phone number is (618) 271-0204.
What is Denise Krone's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Denise Krone enrolled in Medicare?
Yes. Denise Krone 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 Denise Krone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denise Krone reassigns Medicare benefits to 5 organizations: Southern Illinois Healthcare Foundation, Inc. (East Saint Louis, IL), Ahs Il Medical Group LLC (Granite City, IL), Anderson Medical Group, LLC (Maryville, IL), Sparta Community Hospital D/B/A Quality Healthcare Clinics (Sparta, IL) and Physicians Immediate Care North Chicago LLC (Chicago, 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 Denise Krone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Denise Krone accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Denise Krone 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 Denise Krone affiliated with any hospitals?
According to CMS data, Denise Krone is affiliated with Sparta Community Hospital.
When was this NPI record last updated?
The NPPES record for Denise Krone was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Denise J Krone, FNP,BC · NPI 1902163942
Family physician in East Saint Louis, Illinois. Individual provider, active in the CMS NPPES registry since April 16, 2012.
## Identity
- **NPI:** 1902163942 (Entity type: Individual)
- **Enumerated:** April 16, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209-009486 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 STATE ST, East Saint Louis, IL 62205-1803
- **Phone:** (618) 271-0204
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Southern Illinois Healthcare Foundation, Inc. (NPI 1811054935, East Saint Louis, IL); Ahs Il Medical Group LLC (NPI 1659098101, Granite City, IL); Anderson Medical Group, LLC (NPI 1700807716, Maryville, IL); Sparta Community Hospital D/B/A Quality Healthcare Clinics (NPI 1114984226, Sparta, IL); Physicians Immediate Care North Chicago LLC (NPI 1205814118, Chicago, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 7, 2024
- **Other identifiers:** Medicaid 1164534210 (MO); Other 209-009486 (IL); Other 2012028451 (MO)
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Source: [NPI Profile](https://npiprofile.com/npi/1902163942) · Data from the CMS NPPES public registry.