Functional Regenerative Services of Illinois Ltd LLC
NPI 1043891880ActiveOrganization· Nurse Practitioner, Family· Tuscola, IL
Nurse Practitioner, Family in Tuscola, Illinois, registered in NPPES in April 2021. The authorized official on file is Kristina Nicole Smith, APRN-FNP-C, Nurse Practitioner.
Overview
| NPI | 1043891880 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 14, 2021 |
| Last updated in NPPES | Jun 3, 2021 |
| Certified by provider | Jun 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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