Individual provider Active NPI

Christina Michelle Blaesing, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Ballwin, MO
National Provider Identifier
1316135486
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012025819 Issued in MO
Practice address
15945 Clayton Rd Ste 320
Ballwin, MO 63011-2492
Phone
(636) 256-5350
NPI assigned
Oct 13, 2007
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2012025819 MO Primary

Addresses

Primary practice location

15945 Clayton Rd Ste 320
Ballwin, MO 63011-2492

Mailing address

15945 Clayton Rd Ste 320
Ballwin, MO 63011-2492
Phone (636) 256-5350

Other practice location 1

15945 Clayton Rd Ste 330
Ballwin, MO 63011-2492
Phone (636) 256-5380

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
I20130826000515 MO Practitioner - Nurse Practitioner 5698918548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

15945 Clayton Rd
Suite 320
Ballwin, MO 63011-2492
Phone (636) 256-5350

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2012025819MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group Inc. CurrentSince Aug 22, 2016 Accepting new patients
SSM Medical Group, Inc. CurrentSince Aug 22, 2016 Accepting new patients
Mercy Clinic East Communities CurrentSince Apr 24, 2017 Accepting new patients

Locations

15945 Clayton Rd
Ste 310
Ballwin, MO 63011
Phone (636) 893-1356

15945 Clayton Rd
Ste 320
Ballwin, MO 63011
Phone (636) 256-5350

15945 Clayton Rd
Ste 330
Ballwin, MO 63011
Phone (636) 256-5380

917 Chesterfield Pkwy E
Chesterfield, MO 63017
Phone (314) 687-2719

920 N Main St
O Fallon, MO 63366
Phone (314) 687-2731

1000 Des Peres Rd
Ste 310
Saint Louis, MO 63131
Phone (314) 821-1313

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Interoperability endpoints

  • Direct secure messaging: cblaesing802711@directc.mercy.net

Organizations & group practices 3

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 4

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": "1192233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1316135486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15945 CLAYTON RD STE 320",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112492",
            "telephone_number": "636-256-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CLAYTON RD STE 320",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112492",
            "telephone_number": "636-256-5350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15945 Clayton Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630112492",
            "country_code": "US",
            "telephone_number": "636-256-5380",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAESING",
        "first_name": "CHRISTINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012025819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.