Misty Dawn Wernsman, FNP in Centralia, IL - Medicare Nurse Practitioner

Misty Dawn Wernsman, FNP is a medicare enrolled "Nurse Practitioner - Family" in Centralia, Illinois. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Physician Services Corporation Of Southern Illinois Inc and her current practice location is 1052 M L King Dr Ste 2, Centralia, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 436-5410.

Misty Dawn Wernsman is licensed to practice in Illinois (license number 209014985) 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 1144771692.

Contact Information

	Misty Dawn Wernsman, FNP
	1052 M L King Dr Ste 2, Centralia, IL 62801-3002
	(618) 436-5410
	(618) 436-8063

Map and Direction

Provider's Profile

Full Name	Misty Dawn Wernsman
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	1052 M L King Dr Ste 2, Centralia, 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.

Medical Education and Training:

Misty Dawn Wernsman graduated from nursing school in 2016

NPI Data:

NPI Number: 1144771692
Provider Enumeration Date: 10/19/2016
Last Update Date: 04/15/2026

Medicare PECOS Information:

PECOS PAC ID: 5395024301
Enrollment ID: I20161115002180

Medical Identifiers

Medical identifiers for Misty Dawn Wernsman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144771692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	209014985 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209014985 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ssm Health St Mary's Hospital -centralia	Centralia, IL	Hospital
Ssm Health - Good Samaritan Hospital	Mount vernon, IL	Hospital
Fireside House Of Centralia	Centralia, IL	Nursing home

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Physician Services Corporation Of Southern Illinois Inc	9234022567	123

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. Misty Dawn Wernsman allows following entities to bill medicare on her behalf.

Entity Name	Physician Services Corporation Of Southern Illinois Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831101807 PECOS PAC ID: 9234022567 Enrollment ID: O20040304000583

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. Misty Dawn Wernsman 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
Misty Dawn Wernsman, FNP Po Box 25228, Decatur, IL 62525-5228 Ph: (217) 329-3232	Misty Dawn Wernsman, FNP 1052 M L King Dr Ste 2, Centralia, IL 62801-3002 Ph: (618) 436-5410

Reviews and Comments

Nurse Practitioner Nurses in Centralia, IL

Mr. Dale D Pearce, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1535 W Mccord St, Centralia, IL 62801 Phone: 618-533-1811
Alexis Wernsman, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1052 Ml King Drive, Suite 2, Centralia, IL 62801 Phone: 618-436-5410 Fax: 618-436-8063
Natalie Amason, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1054 Martin Luther King Dr, Centralia, IL 62801 Phone: 618-244-0031 Fax: 618-244-0056
Abbey Dempsey, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1307 E Mccord St, Centralia, IL 62801 Phone: 618-899-9200 Fax: 618-899-9206
Mrs. Amber Lynn Wennerstrom, DNP, PMHNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665
Beth Ann Davison, CNM Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 444 N Pleasant Ave, Centralia, IL 62801 Phone: 618-436-5665 Fax: 618-436-8042

Misty Dawn Wernsman, FNP - Medicare Nurse Practitioner in Centralia, IL