Active NPI
Katherine Ann Combs, FNP
- Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2013031821
- Practice address
- 1438 S Grand Blvd
Saint Louis, MO 63104-1027 - Phone
- (314) 617-2000
- NPI assigned
- Dec 23, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209024973 | IL | |
| Nurse Practitioner | 363L00000X | 2020029114 | MO | |
| Nurse Practitioner | 363L00000X | 2013031821 | MO | Primary |
Addresses
Primary practice location
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Mailing address
4700 Memorial Dr Ste 250
Belleville, IL 62226-5373
Phone (618) 212-6560
Other practice location 1
4700 Memorial Dr
Belleville, IL 62226-5373
Phone (314) 974-5046
Other practice location 2
4700 Memorial Dr Ste 250
Belleville, IL 62226-5373
Phone (618) 212-6560
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1438 S Grand Blvd
Saint Louis, MO 63104-1027
Phone (314) 977-6082
Hospital & facility affiliations
- SSM Health Saint Louis University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209024973 | IL | MD | Nurse Practitioner |
| 2013031821 | MO | MD | Nurse Practitioner |
| 2020029114 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients |
Locations
1438 S Grand Blvd
Saint Louis, MO 63104
Phone (314) 977-4828
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
Interoperability endpoints
- kcombs556718@direct-ehr-ssmhc.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1942685920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754524800000",
"number": "1013677699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 MEMORIAL DR STE 250",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265373",
"telephone_number": "618-212-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1438 S GRAND BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631041027",
"telephone_number": "314-617-2000"
}
],
"practiceLocations": [
{
"address_1": "4700 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622265373",
"country_code": "US",
"telephone_number": "314-974-5046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 Memorial Dr Ste 250",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622265373",
"country_code": "US",
"telephone_number": "618-212-6560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMBS",
"first_name": "KATHERINE",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-23",
"last_updated": "2025-08-07",
"certification_date": "2025-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209024973",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2020029114",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2013031821",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4700 Memorial Dr Ste 250",
"city": "Belleville",
"state": "IL",
"country_code": "US",
"postal_code": "622265373",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.