Krissa Ann Jefferis, RN, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R1738203 Issued in MN

Practice address

200 University Ave E
Saint Paul, MN 55101-2507

Phone

(651) 578-5242

Fax

(651) 229-3844

NPI assigned

Jan 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gillette Childrens Specialty HealthcareGroup PAC ID 0547169211, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gillette Childrens Specialty Hospital Hospital, Saint Paul, MN, CCN 243300

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Certified Pediatric Nurse Practitioner, Registered Nurse

State licenses

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.

• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • St. Paul, MN
  • NPI 1225119175
  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gillette Children'S Specialty Healthcare

  • Customized Equipment (DME)
  • Mankato, MN
  • NPI 1295145902

  Hospital

  Care Compare affiliation
• Gillette Children'S Specialty Healthcare

  • Children's Hospital
  • Saint Paul, MN
  • NPI 1447352836
  Care Compare affiliation
• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Duluth, MN
  • NPI 1477612604

  Hospital

  Care Compare affiliation
• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Minnetonka, MN
  • NPI 1598824880

  Hospital

  Care Compare affiliation
• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Maple Grove, MN
  • NPI 1730363698

  Hospital

  Care Compare affiliation
• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Burnsville, MN
  • NPI 1740349042

  Hospital

  Care Compare affiliation
• Gillette Children'S Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1851450894

  Hospital

  Care Compare affiliation
• Gillette Childrens Specialty Healthcare

  • Multi-Specialty Clinic/Center
  • Saint Paul, MN
  • NPI 1760541700

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1093052029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012507",
            "telephone_number": "651-578-5242",
            "fax_number": "651-229-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UNIVERSITY AVE E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012507",
            "telephone_number": "651-578-5242",
            "fax_number": "651-229-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERIS",
        "first_name": "KRISSA",
        "middle_name": "ANN",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MN",
            "license": "R1738203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JB7 Alliance Inc
• Aiham Haisam Jbeli, M.D.
• Hudson Jean
• Jeanette E Truchsess PHD PA
• Jeanne M Forbes LLC
• Brandy Lee Jefferson
• Karen Jeffords-Brown, M.A., LP
• Jeffrey D Larson, LLC
• Danielle Marie Jeffrey, LICSW
• Greta Hysjulien Jeffrey, L.AC

• Pediatric Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pediatric Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.

Verify at the official NPI Registry.