Individual provider Active NPI

Krista N. Carter, PA-C

  • Physician Assistant
  • O Fallon, MO
National Provider Identifier
1043622277
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2015009297 Issued in MO
Practice address
7068 S Outer 364
O Fallon, MO 63368-7757
Phone
(636) 240-6100
Fax
(636) 240-1182
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2015009297 MO Primary
Physician Assistant 363A00000X 10001633A IN

Addresses

Primary practice location

7068 S Outer 364
O Fallon, MO 63368-7757

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other identifiers 2

IdentifierTypeStateIssuer
2015009297OtherMOLICENSE NO
2015009297OtherMOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150909002562 MO Practitioner - Physician Assistant 2668696535 Reassigns benefits to 1 organization
I20180116001550 IL Practitioner - Physician Assistant 2668696535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001633AINMDPhysician Assistant
2015009297MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940

2400 Silhavy Rd
Valparaiso, IN 46383
Phone (219) 462-1778

14855 North Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 532-0150

15197 Clayton Rd
Chesterfield, MO 63017
Phone (636) 394-7515

1200 Graham Rd
Florissant, MO 63031
Phone (314) 383-6555

250 S New Florissant Rd
Florissant, MO 63031
Phone (314) 830-7950

1201 Garden Plaza Dr
Florissant, MO 63033
Phone (314) 831-3752

206 N Main St
O Fallon, MO 63366
Phone (314) 495-8887

7275 Highway N
O Fallon, MO 63368
Phone (208) 710-8066

7068 S Outer 364
O Fallon, MO 63368
Phone (636) 240-6100

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

35 Sugar Maple Ln
Saint Charles, MO 63303
Phone (636) 946-4718

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259

13550 South Outer 40 Rd
Town and Country, MO 63017
Phone (314) 878-1300

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.

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1043622277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7068 S OUTER 364",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633687757",
            "telephone_number": "636-240-6100",
            "fax_number": "636-240-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KRISTA",
        "middle_name": "N.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2015009297",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10001633A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "2015009297",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2015009297",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.