KRYSTLE RUSH – Advanced Practice Midwife, NPI 1215756671

KRYSTLE RUSH is a healthcare provider. based in Marion, Illinois. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold a License No. 209030690 (IL). The NPI Number for KRYSTLE RUSH is 1215756671

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KRYSTLE RUSH
NPI
1215756671
Phone
(844) 872-6249
Address
3408 OFFICE PARK DR
Enumeration Date
3 October 2024
Last Update Date
3 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6189975266
Graduation Year
2024 (2 years ago)
PAC ID
3779013842
Group Practice PAC ID
1759270648
Professional Enrollment ID
I20250205002402
Address ID
IL629596477MA3408XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

236 CERTIFIED NURSE MIDWIFE (CNM) in IL

Provider Addresses for KRYSTLE RUSH

  • 3408 OFFICE PARK DR

    MARION, IL 629596477

    Phone: (844) 872-6249

    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: 2025-02-05

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
I20250205002402ICertified Nurse Midwife (Cnm)ILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62959)

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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: 1759270648View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YIL
Nurse PractitionerIL
Certified Nurse Midwife (Cnm)IL
Certified Nurse Midwife (Cnm)IL
-IL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
Certified Nurse Midwife (Cnm)IL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL

Reviews

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Frequently asked questions

What is the standard ID for KRYSTLE RUSH in the U.S.?
In the U.S., KRYSTLE RUSH is identified by NPI 1215756671.
Should I treat KRYSTLE RUSH as an active provider?
Patients and plans typically see KRYSTLE RUSH as active in the national extract.
How should patients interpret KRYSTLE RUSH's specialty?
The extract shows Advanced Practice Midwife for KRYSTLE RUSH. Clinical services aligned with this taxonomy classification.
Can patients visit KRYSTLE RUSH in Marion, Illinois?
For routing, start with Marion, Illinois for KRYSTLE RUSH, then verify phone and hours locally.
Can I export KRYSTLE RUSH's record?
You can download the official NPPES record; we summarize key fields for readability.

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