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

Kristin Paul

Individual provider Family Nurse Practitioner · NPI 1124411673

Kristin Paul is a Nurse Practitioner in Bloomington, Illinois. Qualified in 2014, 12 years ago. Practices with Carle West Physician Group Inc, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2015
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Practice location Address checks out

720 W Chestnut St
Bloomington, IL 61701-2814
Phone: (309) 824-6026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209011827 (IL)

Record details

NPI number1124411673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 9, 2015
Last updated in NPPESMarch 9, 2015
Mailing address720 W Chestnut St, Bloomington, IL 61701-2814

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Carle West Physician Group Inc — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Bloomington