CHRISTINE L KAGE-WILLIS (LDN) – Nutritionist, NPI 1013289354

CHRISTINE L KAGE-WILLIS (LDN) is a healthcare provider. based in Galesburg, Illinois. specializing in Nutritionist. They hold the professional credentials LDN. They hold a License No. 164-000176 (IL). The NPI Number for CHRISTINE L KAGE-WILLIS (LDN) is 1013289354

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE L KAGE-WILLIS (LDN)
NPI
1013289354
Phone
(309) 343-5114
Address
3375 N SEMINARY ST
Enumeration Date
2 February 2012
Last Update Date
2 February 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093435114
Graduation Year
1985 (41 years ago)
PAC ID
7719146810
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20120308000848
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

Provider Addresses for CHRISTINE L KAGE-WILLIS (LDN)

  • 3375 N SEMINARY ST

    GALESBURG, IL 614011251

    Phone: (309) 343-5114

    Fax: (309) 343-7859

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-03-08

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
I20120308000848IRegistered Dietitian Or Nutrition ProfessionalILTBD

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
97802Therapy procedure for nutrition management, each 15 minutes5013$0
View full utilization report →

Insurance plans in this area (ZIP 61401)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to CHRISTINE L KAGE-WILLIS (LDN)?
NPI 1013289354 is assigned to CHRISTINE L KAGE-WILLIS (LDN) under the national enumeration system.
Is CHRISTINE L KAGE-WILLIS (LDN) active in the national directory?
CHRISTINE L KAGE-WILLIS (LDN)'s public NPI profile is in an active state.
Does CHRISTINE L KAGE-WILLIS (LDN) list a primary specialty?
If you are matching referrals, note Nutritionist for CHRISTINE L KAGE-WILLIS (LDN). Clinical services aligned with this taxonomy classification.
Where is CHRISTINE L KAGE-WILLIS (LDN)'s primary listing?
We display Galesburg, Illinois because that is what the record indicates for CHRISTINE L KAGE-WILLIS (LDN).
What if Galesburg, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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