NPIMap

Individual provider Active NPI

Kristen Allcorn Killen, MD

  • Family Medicine Physician
  • Nixa, MO
National Provider Identifier
1144679960
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019009694 Issued in MO
Practice address
501 N Old Wilderness Rd
Nixa, MO 65714-9490
Phone
(417) 269-2227
Fax
(417) 269-2235
NPI assigned
Jun 13, 2016
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019009694 MO Primary

Addresses

Primary practice location

501 N Old Wilderness Rd
Nixa, MO 65714-9490

Mailing address

PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430

Other identifiers 1

IdentifierTypeStateIssuer
200033519MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722002850 MO Practitioner - Family Practice 8325330160 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Columbia School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lester E Cox Medical CentersGroup PAC ID 5799787784, shared by 17 NPIs, 240 clinicians
Cherry Health Center, LLCGroup PAC ID 1355317033, 97 clinicians

Practice addresses (Care Compare)

501 N Old Wilderness Rd
Coxhealth Nixa
Nixa, MO 65714-9490
Phone (417) 269-2227

607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.78 of 100Reported as group
Quality
74.39
Promoting interoperability
100
Improvement activities
40
Cost
78.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019009694MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lester E Cox Medical Centers CurrentSince Jan 7, 2022 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Jun 13, 2022 Accepting new patients
Lester E Cox Medical Centers Family Medicine CurrentSince Jan 7, 2022 Accepting new patients
Lester E Cox Medical Centers Family Medicine Current Accepting new patients
Lester E. Cox Medical Centers Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Lester E Cox Medical Centers Past Accepting new patients

Locations

501 N Old Wilderness Rd
Nixa, MO 65714
Phone (417) 269-2150

1001 E Primrose St
Springfield, MO 65807
Phone (417) 875-3434

2750 S Campbell Ave
Springfield, MO 65807
Phone (417) 269-2281

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1144679960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802843",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802843",
            "telephone_number": "417-730-6430",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N OLD WILDERNESS RD",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657149490",
            "telephone_number": "417-269-2227",
            "fax_number": "417-269-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLEN",
        "first_name": "KRISTEN",
        "middle_name": "ALLCORN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2019009694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200033519",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nixa, MO

Sources for this page

Verify at the official NPI Registry.