Kristen Nicole Massey, APN is a medicare enrolled "Nurse Practitioner - Adult Health" in Smithton, Illinois. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairview Heights Medical Group Sc and her current practice location is
4017 State Route 159 Ste 101, Smithton, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 257-2875.
Kristen Nicole Massey is licensed to practice in Illinois (license number 209010341) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003159450.
Provider's Profile
| Full Name | Kristen Nicole Massey |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 4017 State Route 159 Ste 101, Smithton, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kristen Nicole Massey graduated from nursing school in 2013
NPI Data:
- NPI Number: 1003159450
- Provider Enumeration Date: 04/04/2013
- Last Update Date: 02/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 1355581158
- Enrollment ID: I20130627000605
Medical Identifiers
Medical identifiers for Kristen Nicole Massey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003159450 | NPI | - | NPPES |
| 209010341 | Other | IL | IL LIC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP2300X | Nurse Practitioner - Primary Care | 209010341 (Illinois) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 209010341 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fairview Heights Medical Group Sc | 6800784083 | 346 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristen Nicole Massey allows following entities to bill medicare on her behalf.
| Entity Name | Fairview Heights Medical Group Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679503668
PECOS PAC ID: 6800784083
Enrollment ID: O20040309000650 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristen Nicole Massey is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kristen Nicole Massey, APN
4017 State Route 159 Ste 101,
Smithton, IL 62285-2510
Ph: (618) 257-2875 | Kristen Nicole Massey, APN
4017 State Route 159 Ste 101,
Smithton, IL 62285
Ph: (618) 257-2875 |
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