Kristin C Robertson, RN FNP-C

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

139455 Issued in MO

Practice address

805 Gulf St.
Lamar, MO 64759-1238

Phone

(417) 682-5508

Fax

(417) 682-5594

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

74.07 of 100Reported as group

Quality

45.41

Promoting interoperability

97

Improvement activities

40

Cost

70.66

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C. Tucker Joustra Family Practice, Inc.

  • Primary Care Clinic/Center
  • Lamar, MO
  • NPI 1609108240

  MO

  Medicare reassignment NPD
• Heart and Vascular Care, P. C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Joplin, MO
  • NPI 1427160514
  NPD (past)
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817
  NPD (past)
• Nevada Urgent Care

  • Clinic/Center
  • Nevada, MO
  • NPI 1902096308
  NPD (past)
• Nevada Urgent Care, LLC

  • Durable Medical Equipment & Medical Supplies
  • Nevada, MO
  • NPI 1780863985
  NPD (past)
• Heart and Vascular Care, P.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pittsburg, KS
  • NPI 1407045867
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329264000000",
    "number": "1003949587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 GULF ST.",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591238",
            "telephone_number": "417-682-5508",
            "fax_number": "417-682-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 GULF ST.",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591238",
            "telephone_number": "417-682-5508",
            "fax_number": "417-682-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KRISTIN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "RN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MO",
            "license": "139455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424028801",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200546830A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200133580A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian A Reavley, DDS
• Regional Services
• Bethany Rice, COTA/L
• Richard R. Behrend, Inc
• Jessica Robertson, PHARMD
• Leah M Rokey
• Audrey Ann Russell, PHARM.D.
• Kasey Selvey
• Silver Oak Senrior Living Management, LC
• David M Steele, M.D.

• All providers in Lamar, MO
• Critical Care Medicine Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.