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

Kristin Nicole Wilmes

Individual provider Pediatric Nurse Practitioner · NPI 1265706337

Kristin Nicole Wilmes is a Pediatric Nurse Practitioner in Mascoutah, Illinois. Licensed in Missouri. Registered with an NPI since 2012.

Licensed in
MO
In the registry since
2012
Specialties on file
2

Practice location Address checks out

800 Tanzanite Ln
Mascoutah, IL 62258-2953
Phone: (618) 567-0336
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 2004020402 (MO)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 2004020402 (MO)

Record details

NPI number1265706337
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2012
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020