Individual provider Active NPI

Kerry-Ann Georgina Robinson, MSN,FNP-C

  • Family Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1326771452
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022020999 Issued in MO
Practice address
1200 Graham Rd
Florissant, MO 63031-8015
Phone
(914) 602-2532
NPI assigned
Jul 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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 2022020999 MO Primary

Addresses

Primary practice location

1200 Graham Rd
Florissant, MO 63031-8015

Mailing address

PO Box 735378 Chicago
Chicago, IL 60673-5378
Phone (914) 602-2532

Other practice location 1

12800 Boenker Ln
Bridgeton, MO 63044-2438
Phone (314) 499-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230413000734 MO Practitioner - Nurse Practitioner 3779958376 Reassigns benefits to 2 organizations
I20250613000124 IL Practitioner - Nurse Practitioner 3779958376 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yam Medical Center LLCGroup PAC ID 8123445764, 4 clinicians
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

12800 Boenker LN
Bridgeton, MO 63044-2438
Phone (314) 499-6060

601 W Lincoln Ave
Caseyville, IL 62232-1306
Phone (618) 345-3072

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2022020999MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jul 14, 2025 Accepting new patients
Yam Medical Center LLC Family CurrentSince May 1, 2023 Accepting new patients
Karefirst Missouri PC CurrentSince Jun 12, 2023 Accepting new patients
Theoria Medical CurrentSince Mar 2, 2025 Accepting new patients

Locations

601 W Lincoln Ave
Caseyville, IL 62232
Phone (618) 344-9355

471 W Terra Cotta Ave
Crystal Lake, IL 60014
Phone (815) 455-0550

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

12800 Boenker Ln
Bridgeton, MO 63044
Phone (314) 499-6060

1200 Graham Rd
Florissant, MO 63031
Phone (314) 383-6555

13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259

Organizations & group practices 4

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": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1326771452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735378 CHICAGO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735378",
            "telephone_number": "914-602-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 GRAHAM RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318015",
            "telephone_number": "914-602-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12800 Boenker Ln",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442438",
            "country_code": "US",
            "telephone_number": "314-499-6060",
            "fax_number": "314-261-9222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "KERRY-ANN",
        "middle_name": "GEORGINA",
        "credential": "MSN,FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022020999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.