| Krystle Michelle Wisnasky, FNP-BC | |
|
6812 State Route 162 Ste 200, Maryville, IL 62062-8562 | |
| (618) 288-0900 | |
| Not Available |
| Full Name | Krystle Michelle Wisnasky |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 6812 State Route 162 Ste 200, Maryville, 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 |
|---|---|---|---|
| 1134753825 | NPI | - | NPPES |
| 209.020939 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.020939 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Anderson Hospital | Maryville, IL | Hospital |
| Alton Memorial Hospital | Alton, IL | Hospital |
| Jersey Community Hospital | Jerseyville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Post Acute Medical Pllc | 5193156115 | 433 |
| Urology Of St Louis Inc | 6204723786 | 112 |
| Entity Name | Litchfield Family Practice Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235189499 PECOS PAC ID: 2466362819 Enrollment ID: O20041123000974 |
| Entity Name | Urology of St Louis Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528017191 PECOS PAC ID: 6204723786 Enrollment ID: O20050502001141 |
| Entity Name | Post Acute Medical PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
| Entity Name | Altea Medical Illinois PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Krystle Michelle Wisnasky, FNP-BC Po Box 14369, Saint Louis, MO 63178-4369 Ph: (314) 567-6071 | Krystle Michelle Wisnasky, FNP-BC 6812 State Route 162 Ste 200, Maryville, IL 62062-8562 Ph: (618) 288-0900 |
Mrs. Katherine Anne Burnley, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2133 Vadalabene Dr, Suite 5b, Maryville, IL 62062 Phone: 618-288-7605 Fax: 618-288-7644 |
Alyssa Ruwe Martz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162, Suite 123, Maryville, IL 62062 Phone: 618-288-9460 Fax: 618-288-9461 |
Jennifer D Wesselman-williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2236 Vadalabene Dr, Maryville, IL 62062 Phone: 618-726-2229 Fax: 618-726-2225 |
Jessica Lynn Sheffer, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 |
Danielle Nicole Fries, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6812 State Route 162 Ste 200, Maryville, IL 62062 Phone: 618-288-0900 Fax: 618-288-0909 |
Jasmine Cowan, DNP, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 24b Professional Park Dr, Maryville, IL 62062 Phone: 505-400-4789 Fax: 618-615-4091 |
Deanna Moorman, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2023 Vadalabene Dr, Suite 200, Maryville, IL 62062 Phone: 618-288-7408 |