| Cristen Mae Mckibben, FNP-C | |
|
98 Peach Ridge Rd, Anna, IL 62906-2243 | |
| (618) 614-1400 | |
| (618) 614-1401 |
| Full Name | Cristen Mae Mckibben |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 98 Peach Ridge Rd, Anna, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174304158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2023039401 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Parkland Health Center | 1951219237 | 32 |
| Entity Name | Parkland Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922016112 PECOS PAC ID: 1951219237 Enrollment ID: O20050224000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Cristen Mae Mckibben, FNP-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200 | Cristen Mae Mckibben, FNP-C 98 Peach Ridge Rd, Anna, IL 62906-2243 Ph: (618) 614-1400 |
Ms. Heather Dawn Davis, APRN,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 N Main St, Anna, IL 62906 Phone: 618-833-5161 Fax: 618-833-9034 | |
Keith Samuel Bass, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 | |
Jessica Elizabeth Wills, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-6267 | |
Ms. Erica Vining, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 Fax: 618-833-6267 | |
Adam Brock Goforth, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 N Main St, Anna, IL 62906 Phone: 618-833-4471 | |
Rebecca L Pind, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 517 N Main St, Anna, IL 62906 Phone: 618-833-2295 Fax: 618-833-9058 |