Individual provider · Type 1 NPI

Kristin Elmore, FNP-BC

Nurse Practitioner · Bethalto, IL

NPI number 1245613058 Active

Practice location

163 E Bethalto Dr
Bethalto, IL 62010-1801

Call (618) 433-6640 Map

Fax (618) 433-6645

Mailing address

PO Box 959203
St. Louis, MO 63195-9203

Other practice locations

270 Maple Summit Road, Jerseyville, IL 62052-2028 · (618) 498-2273

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	041377603 (IL)
Family Nurse Practitioner	363LF0000X	209012890 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

10 other providers at this address

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About NPI 1245613058

Kristin Elmore, FNP-BC's National Provider Identifier is 1245613058, issued on Jun 30, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bethalto, IL. The record was last updated on Sep 21, 2026.