Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristen Lee Kustermann, ANP

Individual provider Acute Care Nurse Practitioner · NPI 1396312419

Kristen Lee Kustermann, ANP is a Nurse Practitioner in Belleville, Illinois. Qualified in 2015, 11 years ago. Practices with SSM Health Care Group, a 923-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2021
Specialties on file
2

Practice location Address checks out

4500 Memorial Dr
Belleville, IL 62226-5360
Phone: (618) 257-6220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1201 S Grand Blvd, Saint Louis, MO 63104-1016 — (314) 617-2000

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209023040 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 209023040 (IL)

Record details

NPI number1396312419
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESApril 1, 2025
Certification dateApril 1, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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