| Mrs Jennifer Elizabeth Kistner, FNP | |
|
203 S Main St, Dieterich, IL 62424 | |
| (217) 925-5730 | |
| (217) 925-5736 |
| Full Name | Mrs Jennifer Elizabeth Kistner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 16 Years |
| Location | 203 S Main St, Dieterich, 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 |
|---|---|---|---|
| 1972892313 | NPI | - | NPPES |
| 041359392 | Other | IL | RN LICENSE |
| 209008758 | Other | IL | NURSE PRACTITIONER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209008758 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hshs Home Care Southern Illinois | Effingham, IL | Home health agency |
| St Anthonys Memorial Hospital | Effingham, IL | Hospital |
| St Johns Hospital | Springfield, IL | Hospital |
| Sarah Bush Lincoln Health Center | Mattoon, IL | Hospital |
| St Marys Hospital | Decatur, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hshs Medical Group Inc | 5092857821 | 201 |
| Entity Name | Hshs Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962644807 PECOS PAC ID: 5092857821 Enrollment ID: O20100116000275 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jennifer Elizabeth Kistner, FNP 1207 Network Centre Dr Ste 3, Effingham, IL 62401-4632 Ph: (217) 347-2707 | Mrs Jennifer Elizabeth Kistner, FNP 203 S Main St, Dieterich, IL 62424 Ph: (217) 925-5730 |
Mrs. Jennifer J Tinsley, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 203 S Main St, Dieterich, IL 62424 Phone: 618-629-7565 Fax: 618-822-4154 |