Active NPI
Kristen M Liebig, CRNA
- Certified Registered Nurse Anesthetist
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209028393
- Practice address
- 10010 Kennerly Rd
Saint Louis, MO 63128-2106 - Phone
- (636) 386-7222
- Fax
- (636) 200-4036
- NPI assigned
- Apr 21, 2009
- Last updated
- Sep 29, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2005023468 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 209028393 | IL | Primary |
| Registered Nurse | 163W00000X | 2005023468 | MO |
Addresses
Primary practice location
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Mailing address
PO Box 22407
Saint Louis, MO 63126-0407
Phone (636) 386-7222
Other practice location 1
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5000
Other names 1
- Kristin M Ballantini
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | MISSOURI BAPTIST MEDICAL CENTER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Missouri Baptist Medical Center
Practice addresses (Care Compare)
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1000
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5000
3301 Broadway St
Quincy, IL 62301-3713
Phone (217) 277-3500
6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005023468 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| South County Anesthesia Associates, LTD | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Missouri Baptist Medical Center | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Missouri Baptist Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Current | Accepting new patients | |
| Digestive Health Specialists, LLC | Current | Accepting new patients | |
| South County Anesthesia Associates, LTD. | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Past | Accepting new patients | |
| Key Anesthesia Partners | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
3301 Broadway St
Quincy, IL 62301
Phone (217) 277-4070
339 Consort Dr
Ballwin, MO 63011
Phone (636) 386-7222
3800 S Whitney Ave
Ste 100
Independence, MO 64055
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
11525 Olde Cabin Rd
Ste 101
Saint Louis, MO 63141
Phone (314) 400-9999
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- kliebig1105576@direct.unitypoint.org
Organizations & group practices 13
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.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1821031659
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
-
- Certified Registered Nurse Anesthetist
- Maryville, IL
- NPI 1487020111
-
- Gastroenterology Physician
- Independence, MO
- NPI 1801286844
-
- General Practice Physician
- Saint Louis, MO
- NPI 1467461434
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1609658905
Nurse Anesthetist, Certified Registered
-
dba PRO Pain
- Pain Clinic/Center
- Wentzville, MO
- NPI 1114290749
-
dba Quincy Medical Group Pittsfield Affiliate
- Rural Health Clinic/Center
- Pittsfield, IL
- NPI 1356315899
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Certified Registered Nurse Anesthetist
- Chesterfield, MO
- NPI 1467073742
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
dba HSHS St. Elizabeth's Hospital
- General Acute Care Hospital
- O'Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1356585467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22407",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631260407",
"telephone_number": "636-386-7222",
"fax_number": "636-200-4036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10010 KENNERLY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282106",
"telephone_number": "636-386-7222",
"fax_number": "636-200-4036"
}
],
"practiceLocations": [
{
"address_1": "3015 N Ballas Rd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631312329",
"country_code": "US",
"telephone_number": "314-996-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIEBIG",
"first_name": "KRISTEN",
"middle_name": "M",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2026-09-29",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2005023468",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209028393",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2005023468",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"endpointDescription": "BJC",
"affiliationName": "MISSOURI BAPTIST MEDICAL CENTER",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3015 N Ballas Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312329",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "BALLANTINI",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.