Active NPI
Kristin Louise Staats, FNP
- Family Nurse Practitioner
- Lake St Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2020030802
- Practice address
- 100 Medical PLZ
Lake St Louis, MO 63367-1366 - Phone
- (636) 625-5200
- NPI assigned
- Apr 29, 2021
- Last updated
- Apr 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2020030802 | MO | Primary |
Addresses
Primary practice location
100 Medical PLZ
Lake St Louis, MO 63367-1366
Mailing address
75 Scotsdale CT
Saint Peters, MO 63376-7664
Phone (573) 268-8601
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kristin.staats@ssmhealth.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Medical PLZ
Lake Saint Louis, MO 63367-1366
Phone (636) 625-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
100 Medical Plz
Lake St Louis, MO 63367
Phone (636) 625-5200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189
Organizations & group practices 2
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.
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
dba SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health St. Joseph Hospital - St. Charles
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
-
dba SSM Health St Joseph Hospital - Lake Saint Louis
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1346823275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 SCOTSDALE CT",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767664",
"telephone_number": "573-268-8601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PLZ",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671366",
"telephone_number": "636-625-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAATS",
"first_name": "KRISTIN",
"middle_name": "LOUISE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2020030802",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kristin.staats@ssmhealth.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "100 Medical Plz",
"city": "Lake St Louis",
"state": "MO",
"country_code": "US",
"postal_code": "633671366",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lake St Louis, MO
- SSM Health Care St. Louis (SSM Health St. Joseph Hospital - Lake Saint Louis Physician Billing)
- SSM Health Care St. Louis (SSM Health St Joseph Hospital - Lake Saint Louis)
- SSM St Charles Clinic Medical Group
- St. Louis Vascular Surgical Specialists PC (St. Louis Limb Preservation Center)
- St.Joseph Health Cener Womens and Childrens Services Clinic (Physicians of SSM St. Louis)
- Ashana Starr
- Stephanie Denton LLC
- STL Mid County Dental LLC (Lake St Louis Dentistry)
- Sean P. Stoneking, M.D.
- Kristen Marie Strasser, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.