KRISTOPHER RHODES – Primary Care Nurse Practitioner, NPI 1174177562

KRISTOPHER RHODES is a healthcare provider. based in Decatur, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209019639 (IL). The NPI Number for KRISTOPHER RHODES is 1174177562

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KRISTOPHER RHODES
NPI
1174177562
Phone
(217) 877-9117
Address
320 E CENTRAL AVE
Enumeration Date
24 July 2019
Last Update Date
28 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8479200902
Graduation Year
2019 (7 years ago)
PAC ID
2668808775
Group Practice PAC ID
5092881417
Professional Enrollment ID
I20200210001633
Address ID
IL600774462SK5250XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KRISTOPHER RHODES

  • 320 E CENTRAL AVE

    DECATUR, IL 625214665

    Phone: (217) 877-9117

    Type: Mailing

  • 20037 NORTH RD

    RAYMOND, IL 625605146

    Phone:

    Type: Mailing

  • 201 E MADISON ST STE 328

    SPRINGFIELD, IL 627025131

    Phone: (217) 545-8000

    Type: Mailing

  • 320 E Central Ave

    Decatur, IL 625214665

    Phone: (217) 877-9117

    Type: Location

  • 3220 ATLANTA ST

    SPRINGFIELD, IL 627078801

    Phone: (217) 545-8000

    Type: Location

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: 2020-02-10

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
I20200210001633INurse 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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes8320$0
View full utilization report →

Insurance plans in this area (ZIP 62521)

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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: 5092881417View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerOH
Nurse PractitionerIN
Nurse PractitionerMI
Pulmonary Disease, Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Internal Medicine, Family PracticeIN

Reviews

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Frequently asked questions

Where can patients find KRISTOPHER RHODES's NPI?
You can confirm KRISTOPHER RHODES with NPI 1174177562; it appears in the national provider directory.
Does this profile mean KRISTOPHER RHODES is currently active?
Yes — KRISTOPHER RHODES appears active in the national provider directory.
Can you summarize KRISTOPHER RHODES's specialty in plain language?
Clinically, the directory lists KRISTOPHER RHODES with Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KRISTOPHER RHODES's primary listing?
We display Decatur, Illinois because that is what the record indicates for KRISTOPHER RHODES.
Is KRISTOPHER RHODES a real provider?
This page reflects official NPPES data for NPI 1174177562. Always confirm identity and privileges with the practice and licensing boards.

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