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Active NPI 1972892313 Individual Practitioner Female Practitioner

Jennifer Elizabeth Kistner , FNP

Nurse Practitioner • Dieterich, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jennifer Kistner, FNP is a certified Nurse Practitioner practicing in Dieterich, IL. With approximately 16 years of clinical experience since completing medical education in 2010, Jennifer Kistner delivers high-quality medical care to the local community at 203 S MAIN ST.

Jennifer Kistner is affiliated with Hshs Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, automated urinalysis test, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

203 S Main St

Dieterich, IL 62424

Telephone 2179255730
Fax 2179255736
Associated Practice Facility / Clinic
🏢 Ink & Ivy Psychiatry, Llc Facility NPI 1023948973

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Dieterich, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs Matches City Avg
City Avg: 16.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Dieterich, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kistner (16 Years) 16 Yrs
Dieterich Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
210 111 $20.00 $8.62
81003 Automated urinalysis test
35 28 $8.00 $2.15

Medical Specialties & State Licenses

CMS Verified: 2022-06-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209008758

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rn License
041359392 (IL)
Commercial Insurance / Payer ID Nurse Practitioner License
209008758 (IL)

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

1900 E Lake Shore Dr, Decatur, IL 625213848

Phone: 2174232889

Hshs Medical Group Inc

1836 S Macarthur Blvd, Springfield, IL 627044030

Phone: 2177891403

Hshs Medical Group Inc

207 S Main St, Dieterich, IL 624241128

Phone: 2179525730

Secondary Practice Locations

512 N Maple St

Effingham, IL 624012005

Phone: 2173477030

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1619068061

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 20, 2018

Registered at 203 S MAIN ST, DIETERICH, IL 62424 (Tel: 2179255730)

📍
Updated Business Mailing Address November 20, 2018

Registered at 1207 NETWORK CENTRE DR STE 3, EFFINGHAM, IL 624014632 (Tel: 2173472707)

NPI Profile Active April 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 06, 2011

Registered at 900 W TEMPLE AVE, SUITE 205, EFFINGHAM, IL 624012121 (Tel: 2179255730)

📍
Updated Business Mailing Address April 06, 2011

Registered at 900 W TEMPLE AVE, SUITE 106, EFFINGHAM, IL 624012121 (Tel: 2173472707)

👤
Provider Name / Credentials Updated April 06, 2011

Recorded as JENNIFER KISTNER, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2011

Nurse Practitioner (License #209008758 in IL)

🟢
Initial NPI Registration & Enumeration April 06, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972892313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2011
Last Update: June 30, 2022
Sole Proprietor: No

Mailing Address

1207 Network Centre Dr Ste 3

Effingham, IL 624014632

Phone: 2173472707

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.