Krista Barnes, PA-C
Individual provider Active NPI Physician Assistant · Lees Summit, MO
NPI 1073744751 · NPPES record last updated Feb 1, 2021
Key facts
- NPI
- 1073744751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 2021003796 (MO)
- Practice address
- 120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011 - Phone
- (816) 246-4302
- Fax
- (816) 246-9493
- NPI assigned
- Jul 29, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1605 Martin Springs Dr
Rolla, MO 65401-2980
2115 S Fremont Ave
3050 MC Infectious Disease Whiteside
Springfield, MO 65804-2236
Phone (417) 820-3905
2115 S Fremont Ave
3100 MC Lab and Imaging Services Whiteside
Springfield, MO 65804-2205
Phone (417) 820-3738
3231 S National Ave
Springfield, MO 65807-7304
701 N McCroskey St
Nixa, MO 65714-9403
Phone (417) 449-5920
940 W Mount Vernon St
Nixa, MO 65714-9613
Hospital & facility affiliations
- Mercy Hospital Springfield
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MO, OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210202003045 | MO | Practitioner - Physician Assistant | 4587702790 | Reassigns benefits to 2 organizations |
| I20211203001199 | OK | Practitioner - Physician Assistant | 4587702790 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002022 | IA | MD | Physician Assistant |
| 085.005071 | IL | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Mercy Clinic Springfield Communities | Current |
Accepting new patients | |
| Comanche County Healthcare | Current |
Accepting new patients | |
| Comanche County Healthcare Corporation | Current |
Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
701 N McCroskey St
Nixa, MO 65714
Phone (417) 449-5920
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
Interoperability endpoints
- krista.barnes@mmg.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002022 | IA | |
| Medical Physician Assistant | 363AM0700X | 085.005071 | IL | |
| Physician Assistant | 363A00000X | 2021003796 | MO | Yes |
Addresses
Primary practice location
120 NE Saint Lukes Blvd Ste 200
Lees Summit, MO 64086-6011
Mailing address
901 E 104TH St # Ms 400S
Kansas City, MO 64131-4517
Phone (816) 502-8752
Other providers in Lees Summit, MO
- Cynthia Lynn Banks
- Shelby Lynn Barber
- Allison Beth Barfield
- Alicia Barnard
- Allison Barnes
- Jennifer Barnett-Garner
- Jennifer Lynn Barnett
- Michelle Lynn Barnett
- Sara Barnett
- Christopher R Bartalos
All providers in Lees Summit, MO · Physician Assistant in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.