1. Home
  2. Directory
  3. Illinois
  4. Dieterich
  5. Nurse Practitioner
  6. NPI Profile

MRS. JENNIFER ELIZABETH KISTNER FNP
NPI 1972892313
Nurse Practitioner in Dieterich, IL

Active since April 06, 2011PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
203 S MAIN ST, DIETERICH, IL 62424(217) 925-5730(217) 925-5736 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2018, Nov 20, 2018 (2 updates tracked since 2018).

About Mrs. Jennifer Elizabeth Kistner Fnp NPPES

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

MRS. JENNIFER ELIZABETH KISTNER FNP (NPI 1972892313) is an individual nurse practitioner in Dieterich, Illinois, licensed in Illinois (209008758) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Effingham.

NPPES Registry Identity

NPI1972892313
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. JENNIFER ELIZABETH KISTNERCredential: FNP
Location Address203 S MAIN STDieterich, IL 62424
Mailing Address1207 Network Centre Dr Ste 3Effingham, IL 62401-4632 · (217) 347-2707 · Fax (217) 347-2827
Phone(217) 925-5730
Fax(217) 925-5736
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 6, 2011
Last NPPES UpdateJune 30, 20222 updates tracked since enumeration
NPPES CertifiedJune 30, 2022
✔ NPI 1972892313 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 · 209008758
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.
203 S MAIN ST, Dieterich, IL 62424
Open in Google Maps ↗

Secondary Practice Location 1

Location 1512 N Maple StEffingham, IL 62401-2005 · Phone (217) 347-7030 · Fax (217) 347-7049

Other Identifiers 2

Other209008758IL · Nurse Practitioner License
Other041359392IL · Rn License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica 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

Mrs. Jennifer Elizabeth Kistner Fnp 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 ID3072748771
PECOS Enrollment IDI20131106000282
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 Reassignment

Medicare enrollment records show Jennifer Kistner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sjl Health Systems Inc
44 mi
Skilled Nursing Facility
900 S CHESTNUT ST
Pana, IL 62557
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Hshs Medical Group Inc
  • 317 clinicians in this Medicare group
NPI 1215037353 (217) 562-3996

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 2

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
210 services111 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
35 services28 patients

Hospital Affiliations CMS Care Compare 3

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

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 62424 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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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 suppliers19 claims36 services$5.50 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 supplier12 claims12 services$19.50 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers18 claims18 services$7.24 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 suppliers25 claims25 services$109.51 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 suppliers25 claims5,888 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 2

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

MICHELLE RAE BRADDY M.D.
Family Medicine
203 S MAIN ST
DIETERICH, IL 62424
Effingham County (217) 925-5730
JENNIFER TINSLEY PMHNP-BC, PLLC
Community/Behavioral Health
203 S MAIN ST
DIETERICH, IL 62424
Effingham County (618) 629-7565

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 Jennifer Kistner's NPI number?

The NPI number for Jennifer Kistner is 1972892313. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Jennifer Kistner located?

Jennifer Kistner practices at 203 S Main St, Dieterich, IL 62424. The listed phone number is (217) 925-5730.

What is Jennifer Kistner's specialty?

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

Is Jennifer Kistner enrolled in Medicare?

Yes. Jennifer Kistner 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 Jennifer Kistner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Kistner reassigns Medicare benefits to Sjl Health Systems Inc (Pana, 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 Jennifer Kistner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Kistner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Medica and UnitedHealthcare list Jennifer Kistner 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 Jennifer Kistner affiliated with any hospitals?

According to CMS data, Jennifer Kistner is affiliated with St Anthonys Memorial Hospital, St Johns Hospital and Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Jennifer Kistner was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.