KRISTEN NICOLE MASSEY (APN) – Adult Health Nurse Practitioner, NPI 1003159450

KRISTEN NICOLE MASSEY (APN) is a healthcare provider. based in Smithton, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209010341 (IL). The NPI Number for KRISTEN NICOLE MASSEY (APN) is 1003159450

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN NICOLE MASSEY (APN)
NPI
1003159450
Phone
(618) 257-2875
Address
4017 STATE ROUTE 159 STE 101
Enumeration Date
4 April 2013
Last Update Date
25 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182572875
Graduation Year
2013 (13 years ago)
PAC ID
1355581158
Group Practice PAC ID
6800784083
Professional Enrollment ID
I20130627000605
Address ID
IL622852510SM4017X159X401

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness95
Years active:13State licenses:1Other names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KRISTEN NICOLE MASSEY (APN)

  • 4017 STATE ROUTE 159 STE 101

    SMITHTON, IL 62285

    Phone: (618) 257-2875

    Fax: (618) 257-2895

    Type: Location

  • 200 ADMIRAL TROST RD STE 1A

    COLUMBIA, IL 622362164

    Phone: (618) 281-7373

    Type: Location

  • 4017 State Route 159 Ste 101

    Smithton, IL 62285

    Phone: (618) 257-2875

    Fax: (618) 257-2895

    Type: Location

  • 4600 Memorial Dr

    Ste. 360

    Belleville, IL 622265368

    Phone: (618) 222-7280

    Fax: (618) 222-7281

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 253 Open Payments records for all available years, with a total value of $4,470.

Total Amount is formed as General ($4,470) + Research ($0) + Ownership ($0) = $4,470.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Lilly USA, LLC ($917).

Total Amount

$4,470

General + Research + Ownership

Payments

253

Total payment records

General Amount

$4,470

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130627000605INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes12083$0
99214Established patient office or other outpatient visit, 30-39 minutes11993$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9999$0
G0008Administration of influenza virus vaccine2828$0
90662Influenza vaccine split virus, preservative free2323$0
View full utilization report →

Insurance plans in this area (ZIP 62285)

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Provider's Procedures

KRISTEN NICOLE MASSEY (APN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERIL81002Urinalysis, manual test2322

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800784083View full group profile
NameSpecialtyState
Nurse PractitionerIL
Physician AssistantIL
Family PracticeIL
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
G A S T R O E N T E R O L O G YGA
Physician AssistantIL
-MO
Gastroenterology, Gastroenterology, Internal MedicineOH
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check KRISTEN NICOLE MASSEY (APN) using NPI 1003159450?
NPI 1003159450 belongs to KRISTEN NICOLE MASSEY (APN); compare other details if you need extra assurance.
Is KRISTEN NICOLE MASSEY (APN) still an active registrant?
KRISTEN NICOLE MASSEY (APN) carries an active NPI according to the public dataset.
What expertise is attributed to KRISTEN NICOLE MASSEY (APN)?
KRISTEN NICOLE MASSEY (APN)'s specialty line reads Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with KRISTEN NICOLE MASSEY (APN)?
Directory geography for KRISTEN NICOLE MASSEY (APN) centers on Smithton, Illinois.
When was this NPI issued?
Enumeration for KRISTEN NICOLE MASSEY (APN) is noted as April 4, 2013 where the registry provides it.

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