KRISTIN ANNE CHILDERS (FNP-C) – Family Nurse Practitioner, NPI 1801359575
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for KRISTIN ANNE CHILDERS (FNP-C)
270 MAPLE SUMMIT RD
JERSEYVILLE, IL 620522004
Phone: (618) 498-7108
Fax: (618) 498-7919
Type: Mailing
20 COURTESY LN
ALTON, IL 620027940
Phone: (314) 791-6425
Type: Mailing
Jersey Community Hospital, 400, Maple Summit Road, Jerseyville, Jersey County, Illinois, 62052, United States
JERSEYVILLE, IL 620522028
Phone: (618) 498-6402
Type: Location
5213 GODFREY RD STE 110
GODFREY, IL 620352510
Phone: (618) 619-3330
Fax: (618) 619-3385
Type: Location
PO BOX 959203
SAINT LOUIS, MO 631952000
Phone: (618) 619-3330
Fax: (618) 619-3385
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 105 Open Payments records for all available years, with a total value of $1,911.
Total Amount is formed as General ($1,911) + Research ($0) + Ownership ($0) = $1,911.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($688).
Total Amount
$1,911
General + Research + Ownership
Payments
105
Total payment records
General Amount
$1,911
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $688 |
| Amgen Inc. | $233 |
| Lilly USA, LLC | $137 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $122 |
| Novo Nordisk Inc | $70 |
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: 2019-05-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190522003179 | I | Nurse Practitioner | IL | TBD |
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.
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 62052)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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