Active NPI
Kristine M Wilfong, CRNA
- Certified Registered Nurse Anesthetist
- Saint Joseph, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1130252
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 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, TX
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704217202 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Regional Health Care System Inc | Single Specialty | Current | Accepting new patients |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Asa Staffing Inc | Single Specialty | Current | Accepting new patients |
| Long Lake Anesthesiology Consultants, PLC | Single Specialty | Current | Accepting new patients |
| Pinnacle Anesthesia PLLC | Single Specialty | Current | Accepting new patients |
| Emergenchealth PLLC | Single Specialty | Current | Accepting new patients |
| Surgical Centers of Michigan, LLC | Current | Accepting new patients | |
| Associated Anesthesiologists of Fort Wayne PC | Single Specialty | Current | Accepting new patients |
| U. S. Anesthesia Partners of Texas, P.a., | Single Specialty | Current | Accepting new patients |
| Resource Anesthesiology Associates of Mi PC | Single Specialty | Current | Accepting new patients |
| Wichita Falls Anesthesia PLLC | Single Specialty | Current | Accepting new patients |
| Macomb Endoscopy Center PLC | Current | Accepting new patients | |
| Macomb Endoscopy Center, PLC | Current | Accepting new patients | |
| Prime Healthcare Services-Port Huron LLC | Single Specialty | Current | Accepting new patients |
| Prime Healthcare Services-Port Huron LLC | Single Specialty | Current | Accepting new patients |
| US Anesthesia Partners of Colorado Inc. | Single Specialty | Current | Accepting new patients |
| Surgical Centers of Michigan, LLC. | Current | 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
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy.et1096.epichosted.com/FHIRProxy/api/fhir/r4/
- 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.
-
- Certified Registered Nurse Anesthetist
- Rochester, MI
- NPI 1114378981
Single Specialty
-
- Anesthesiology Physician
- Troy, MI
- NPI 1194812651
Single Specialty
-
dba Greater Houston Anesthesiology, P.A.
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Single Specialty
-
- Certified Registered Nurse Anesthetist
- Flint, MI
- NPI 1346373339
-
- Ambulatory Surgical Clinic/Center
- Macomb, MI
- NPI 1780923128
-
dba Lake Huron Medical Center
- Certified Registered Nurse Anesthetist
- Port Huron, MI
- NPI 1912525361
Single Specialty
-
- Anesthesiology Physician
- Saginaw, MI
- NPI 1568755882
Single Specialty
-
- Ambulatory Surgical Clinic/Center
- Troy, MI
- NPI 1962463133
-
- Anesthesiology Physician
- Greenwood Village, CO
- NPI 1922365782
Single Specialty
-
- Anesthesiology Physician
- Wichita Falls, TX
- NPI 1639636210
Single Specialty
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Flint, MI
- NPI 1902894512
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
-
dba Baylor Scott & White TX Spine & Joint Hos Imaging Ctr
- General Acute Care Hospital
- Tyler, TX
- NPI 1942292255
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.