Individual provider Active NPI

Krystal Gilb, FNP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1053858589
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209015697 Issued in IL
Practice address
10296 Big Bend Rd Ste 206
Saint Louis, MO 63122-6582
Phone
(314) 366-4874
Fax
(314) 366-4875
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209015697 IL Primary
Nurse Practitioner 363L00000X 2016039172 MO

Addresses

Primary practice location

10296 Big Bend Rd Ste 206
Saint Louis, MO 63122-6582

Mailing address

PO Box 270419
Saint Louis, MO 63127-0419
Phone (314) 366-4874

Other practice location 1

1400 US Highway 61 Ste G50
Festus, MO 63028-4142
Phone (314) 366-4874

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260113000274 MO Practitioner - Nurse Practitioner 9931485927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Louis Bariatrics LLCGroup PAC ID 1355502618, 2 clinicians

Practice addresses (Care Compare)

1400 US Hwy 61
Suite G50
Festus, MO 63028-4142
Phone (314) 366-4874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209015697ILMDNurse Practitioner
2016039172MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Bariatrics LLC CurrentSince Dec 1, 2025 Accepting new patients
STL Bariatrics LP PastSince Jun 18, 2023 Accepting new patients

Locations

1400 US Highway 61
Ste G50
Crystal Cty, MO 63028
Phone (314) 366-4874

10296 Big Bend Rd
Ste 206
Saint Louis, MO 63122
Phone (314) 315-9911

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1053858589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270419",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631270419",
            "telephone_number": "314-366-4874",
            "fax_number": "314-366-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10296 BIG BEND RD STE 206",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226582",
            "telephone_number": "314-366-4874",
            "fax_number": "314-366-4875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 US Highway 61 Ste G50",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284142",
            "country_code": "US",
            "telephone_number": "314-366-4874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILB",
        "first_name": "KRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015697",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2016039172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.