Individual provider Active NPI

Kristine M Wilfong, CRNA

  • Certified Registered Nurse Anesthetist
  • Saint Joseph, MO
National Provider Identifier
1588844799
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1130252 Issued in TX
Practice address
5325 Faraon St
Saint Joseph, MO 64506-3488
Phone
(816) 271-6350
Fax
(816) 271-6753
NPI assigned
Nov 6, 2007
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1130252 TX Primary
Certified Registered Nurse Anesthetist 367500000X 4704217202 MO
Certified Registered Nurse Anesthetist 367500000X 4704217202 MI

Addresses

Primary practice location

5325 Faraon St
Saint Joseph, MO 64506-3488

Mailing address

5301 Faraon St Ste 120
Saint Joseph, MO 64506-3512
Phone (816) 271-1066

Other practice location 1

12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone (972) 715-5000

Other practice location 2

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CO, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20080303000798 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274617030 Reassigns benefits to 9 organizations
I20220818000521 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274617030 Reassigns benefits to 1 organization
I20240220002188 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3274617030 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
McLaren FlintGroup PAC ID 8628975497, 144 clinicians
Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians
Long Lake Anesthesiology Consultants PLCGroup PAC ID 7113818980, 94 clinicians

Practice addresses (Care Compare)

1814 Roseland Blvd
Suite 100
Tyler, TX 75701-4262
Phone (903) 525-3330

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-4400

501 S Ballenger Hwy
McLaren Surgery and Endoscopy Center
Flint, MI 48532-3606
Phone (810) 768-2044

920 River Centre Dr
Port Huron, MI 48060-4463
Phone (810) 984-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704217202MOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
United Regional Health Care System Inc Single Specialty Current Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince Jan 29, 2026 Accepting new patients
Asa Staffing Inc Single Specialty CurrentSince Apr 30, 2017 Accepting new patients
Long Lake Anesthesiology Consultants, PLC Single Specialty CurrentSince Sep 1, 2024 Accepting new patients
Pinnacle Anesthesia PLLC Single Specialty CurrentSince Aug 1, 2021 Accepting new patients
Emergenchealth PLLC Single Specialty CurrentSince Jan 22, 2024 Accepting new patients
Surgical Centers of Michigan, LLC CurrentSince Jan 16, 2021 Accepting new patients
Associated Anesthesiologists of Fort Wayne PC Single Specialty CurrentSince Sep 12, 2024 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Single Specialty CurrentSince Jan 29, 2026 Accepting new patients
Resource Anesthesiology Associates of Mi PC Single Specialty CurrentSince Jul 1, 2018 Accepting new patients
Wichita Falls Anesthesia PLLC Single Specialty CurrentSince Jul 25, 2024 Accepting new patients
Macomb Endoscopy Center PLC Current Accepting new patients
Macomb Endoscopy Center, PLC CurrentSince Jan 16, 2021 Accepting new patients
Prime Healthcare Services-Port Huron LLC Single Specialty CurrentSince Jul 15, 2020 Accepting new patients
Prime Healthcare Services-Port Huron LLC Single Specialty CurrentSince Jul 15, 2020 Accepting new patients
US Anesthesia Partners of Colorado Inc. Single Specialty CurrentSince Aug 3, 2022 Accepting new patients
Surgical Centers of Michigan, LLC. CurrentSince Jan 16, 2021 Accepting new patients
Michigan Medical Anesthesia, .P,C, Single Specialty Past Accepting new patients
Prime Healthcare Services-Port Huron LLC Single Specialty Past Accepting new patients

Locations (25 of 32)

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

2009 Momentum Pl
Chicago, IL 60689

1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600

10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875

4023 Reas Ln
New Albany, IN 47150
Phone (502) 690-6425

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

501 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-4800

4190 24th Ave
Fort Gratiot, MI 48059
Phone (810) 216-4300

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

2775 Blake Rd
Jackson, MI 49201
Phone (517) 787-2906

1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

48801 Romeo Plank Rd
Ste 101
Macomb, MI 48044
Phone (586) 726-8423

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500

2601 Electric Ave
#C
Port Huron, MI 48060
Phone (810) 216-1500

920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200

1701 South Blvd E
Ste 300
Rochester Hills, MI 48307
Phone (248) 844-9710

50438 Van Dyke Ave
Shelby Township, MI 48317
Phone (586) 726-8423

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

4600 Investment Dr
Ste 270
Troy, MI 48098
Phone (248) 267-6222

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (361) 985-5000

Interoperability endpoints

  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
  • Direct secure messaging: kwilfong76593@unitedregional.medalliesdirect.net

Organizations & group practices 21

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.

View all 21

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": "1194307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1588844799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 FARAON ST STE 120",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063512",
            "telephone_number": "816-271-1066",
            "fax_number": "816-271-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063488",
            "telephone_number": "816-271-6350",
            "fax_number": "816-271-6753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 Merit Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752513294",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 S Ballenger Hwy",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485323638",
            "country_code": "US",
            "telephone_number": "810-342-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILFONG",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-06",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1130252",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "4704217202",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704217202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.

Verify at the official NPI Registry.