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

Misty Dawn Wernsman, FNP

Individual provider Gerontology Nurse Practitioner · NPI 1144771692

Misty Dawn Wernsman, FNP is a Nurse Practitioner in Centralia, Illinois. Qualified in 2016, 10 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1052 M L King Dr Ste 2
Centralia, IL 62801-3002
Phone: (618) 436-5410
Fax: (618) 436-8063
Show map & directions

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

Additional practice locations (2)

  • 1 Good Samaritan Way, Mount Vernon, IL 62864-2402 — (618) 242-4600
  • 5 Good Samaritan Way, Mount Vernon, IL 62864-2402 — (618) 899-1264

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209014985 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209014985 (IL)

Record details

NPI number1144771692
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 19, 2016
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount