Kristin Anne Childers, FNP-C in Godfrey, IL - Medicare Nurse Practitioner

Kristin Anne Childers, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Godfrey, Illinois. Her current practice location is 5213 Godfrey Rd Ste 110, Godfrey, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 619-3330.

Kristin Anne Childers is licensed to practice in Illinois (license number 209.019081) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801359575.

Contact Information

	Kristin Anne Childers, FNP-C
	5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510
	(618) 619-3330
	(618) 619-3385

Map and Direction

Provider's Profile

Full Name	Kristin Anne Childers
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5213 Godfrey Rd Ste 110, Godfrey, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801359575
Provider Enumeration Date: 04/10/2019
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 4486997079
Enrollment ID: I20190522003179

Medical Identifiers

Medical identifiers for Kristin Anne Childers such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801359575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	20901908 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	209.019081 (Illinois)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kristin Anne Childers allows following entities to bill medicare on her behalf.

Entity Name	Jersey Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780609925 PECOS PAC ID: 4587650445 Enrollment ID: O20040424000140

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kristin Anne Childers is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kristin Anne Childers, FNP-C Po Box 959203, Saint Louis, MO 63195-2000 Ph: (618) 619-3330	Kristin Anne Childers, FNP-C 5213 Godfrey Rd Ste 110, Godfrey, IL 62035-2510 Ph: (618) 619-3330

Reviews and Comments

Nurse Practitioner Nurses in Godfrey, IL

Christen E Rincker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330
Lisa K James, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330
Christina Varady, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5303 Whispering Woods Dr, Godfrey, IL 62035 Phone: 314-541-8248
Mrs. Sarah Ann Becker, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5520 Godfrey Rd, Ste B, Godfrey, IL 62035 Phone: 618-463-7800 Fax: 618-463-0073
Ms. Benedicta I Odemerho, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5800 Godfrey Rd, Fobes 1525, Godfrey, IL 62035 Phone: 618-468-6800 Fax: 618-468-7410
Briana Waldeck, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5213 Godfrey Rd Ste 110, Godfrey, IL 62035 Phone: 618-619-3330 Fax: 618-619-3390
Bethany E Huelskoetter, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 6702 Godfrey Road, Godfrey, IL 62035 Phone: 618-467-1520 Fax: 618-467-1521

Kristin Anne Childers, FNP-C - Medicare Nurse Practitioner in Godfrey, IL