Kristin Marie Bissing, DNP
Nurse Practitioner in Evanston, IL. Individual provider (NPI-1).
NPI number1669931945
StatusActive
Last updated in NPPESSep 14, 2023
Details
- NPI
- 1669931945
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kristin Marie Bissing
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2019
- Certification date
- Sep 14, 2023
- Last updated
- Sep 14, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B No · DME Yes · Home health No · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.019056 | IL | Yes |
Practice location
2650 Ridge AveEvanston, IL 60201-1781
Phone 847-570-2000
Mailing address
2 Steeple Chase LnNorthfield, IL 60093-1024
Phone 847-508-3947
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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