MRS. KRISTI ANN ELMS (PT) – Physical Therapist, NPI 1477697977

MRS. KRISTI ANN ELMS (PT) is a healthcare provider. based in Benton, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070-012070 (IL). The NPI Number for MRS. KRISTI ANN ELMS (PT) is 1477697977

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTI ANN ELMS (PT)
NPI
1477697977
Phone
(618) 439-3399
Address
1104 W MAIN ST
Enumeration Date
16 February 2007
Last Update Date
28 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182423778
Graduation Year
2000 (26 years ago)
PAC ID
1850884099
Group Practice PAC ID
6901705441
Professional Enrollment ID
I20251205000175
Address ID
IL628013050CE839XXDRXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL

Provider Addresses for MRS. KRISTI ANN ELMS (PT)

  • 1104 W MAIN ST

    BENTON, IL 628121565

    Phone: (618) 439-3399

    Fax: (717) 635-4685

    Type: Mailing

  • 1138 W MCCORD ST

    CENTRALIA, IL 628015603

    Phone: (618) 352-1310

    Type: Location

  • 28681 MASSACHUSETTS RD

    ASHLEY, IL 628081801

    Phone: (618) 322-6090

    Type: Mailing

  • 602 S 42ND ST

    MOUNT VERNON, IL 628646264

    Phone: (618) 242-1100

    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: 2025-12-05

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
I20251205000175IPhysical Therapist In Private PracticeILTBD

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 62812)

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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: 6901705441View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeIL
Hand Surgery, Orthopedic SurgeryIL
Physical Therapist In Private PracticeIL
Physician AssistantIL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
Occupational Therapist In Private PracticeIL

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. KRISTI ANN ELMS (PT)?
NPI 1477697977 is assigned to MRS. KRISTI ANN ELMS (PT) under the national enumeration system.
Does this profile mean MRS. KRISTI ANN ELMS (PT) is currently active?
Yes — MRS. KRISTI ANN ELMS (PT) appears active in the national provider directory.
Does MRS. KRISTI ANN ELMS (PT) list a primary specialty?
If you are matching referrals, note Physical Therapist for MRS. KRISTI ANN ELMS (PT). Clinical services aligned with this taxonomy classification.
Does MRS. KRISTI ANN ELMS (PT) practice in Illinois?
You will see Benton, Illinois on file for MRS. KRISTI ANN ELMS (PT) alongside any extra practice locations.
How can I contact MRS. KRISTI ANN ELMS (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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