Individual provider Active NPI

Kris L Gallina, CRNA

  • Certified Registered Nurse Anesthetist
  • O'Fallon, MO
National Provider Identifier
1023258332
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
2003013752 Issued in MO
Practice address
2 Progress Point CT
O Fallon, MO 63368-2208
Phone
(636) 344-1065
Fax
(636) 344-1064
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 2003013752 MO Primary

Addresses

Primary practice location

2 Progress Point CT
O Fallon, MO 63368-2208

Mailing address

660 S Euclid Ave
C B 8054
Saint Louis, MO 63110-1010
Phone (636) 344-1065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131118000053 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678737467 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Anesthesia LLCGroup PAC ID 5698922581, 10 clinicians

Practice addresses (Care Compare)

12990 Manchester Rd
Suite 105
Saint Louis, MO 63131-1860
Phone 31468642004220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Anesthesia Group LLC CurrentSince Jul 1, 2023 Accepting new patients
Eye Anesthesia LLC CurrentSince Jul 23, 2013 Accepting new patients
SW Anesthesia LLC CurrentSince Jun 3, 2023 Accepting new patients

Locations

3501 Harry S Truman Blvd
Saint Charles, MO 63301
Phone (636) 757-1970

12345 W Bend Dr
Ste 201
Saint Louis, MO 63128
Phone (314) 722-2530

10296 Big Bend Rd
Saint Louis, MO 63122
Phone (314) 543-5970

12990 Manchester Rd
Ste 105
Saint Louis, MO 63131
Phone (314) 686-4200

12990 Manchester Rd
Ste 103
Saint Louis, MO 63131
Phone (314) 686-4200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1023258332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8054",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "636-344-1065",
            "fax_number": "636-344-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PROGRESS POINT CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633682208",
            "telephone_number": "636-344-1065",
            "fax_number": "636-344-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLINA",
        "first_name": "KRIS",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2003013752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.