Individual provider Active NPI

Kris Sutton, NP-C

  • Family Nurse Practitioner
  • Festus, MO
National Provider Identifier
1689035784
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016007971 Issued in MO
Practice address
1455 US Highway 61
Suite C
Festus, MO 63028-4157
Phone
(636) 937-1528
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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 2016007971 MO Primary

Addresses

Primary practice location

1455 US Highway 61
Suite C
Festus, MO 63028-4157

Mailing address

507 W Main St
Park Hills, MO 63601-2068
Phone (314) 520-4365

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160601002059 MO Practitioner - Nurse Practitioner 2163712241 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medwin Primary Care L.L.C. CurrentSince Jan 2, 2018 Accepting new patients
Cei Physicians PSC LLC Past Accepting new patients

Locations

3619 Richardson Square Dr
Ste 150
Arnold, MO 63010
Phone (636) 461-1414

3619 Richardson Square Dr
Arnold, MO 63010
Phone (636) 461-1414

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1689035784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W MAIN ST",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636012068",
            "telephone_number": "314-520-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 US HIGHWAY 61",
            "address_2": "SUITE C",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284157",
            "telephone_number": "636-937-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "KRIS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016007971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.