Individual provider Active NPI

Christine A Kamp, PA

  • Physician Assistant
  • Saint Charles, MO
National Provider Identifier
1689984593
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2010007135 Issued in MO
Practice address
2031 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone
(636) 206-2690
Fax
(636) 206-2691
NPI assigned
Oct 13, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2010007135 MO Primary

Addresses

Primary practice location

2031 Zumbehl Rd
Saint Charles, MO 63303-2723

Mailing address

2031 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 206-2690

Other practice location 1

621 S New Ballas Rd
Suite 7003-B
Saint Louis, MO 63141-8232
Phone (314) 251-5570

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
I20110204000633 MO Practitioner - Physician Assistant 1759561962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians

Practice addresses (Care Compare)

10700 Manchester Rd
Suite E
Kirkwood, MO 63122-1307
Phone (314) 428-9541

11445 Olive Blvd
Creve Coeur, MO 63141-7108
Phone (314) 428-9543

20 The Legends Pkwy
Eureka, MO 63025-3823
Phone (636) 549-8509

2031 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 206-2690

2991 Hwy K
O Fallon, MO 63368-7862
Phone (636) 435-2333

3433 N Hwy 67
Florissant, MO 63033-1647
Phone (314) 720-4381

409 Lafayette Ctr
Manchester, MO 63011-3943
Phone (636) 707-0764

555 Washington SQ
Washington, MO 63090-5343
Phone (636) 390-1777

6460 Ronald Reagan Dr
Lake St Louis, MO 63367-2645
Phone (636) 205-9613

660 A S Truman Blvd
Festus, MO 63028-2235
Phone (636) 206-8049

676 Gravois Bluffs Blvd
Suite A1
Fenton, MO 63026-7742
Phone (636) 492-2245

901 Patients 1St Dr
Suite 1200
Washington, MO 63090-4700
Phone (636) 392-2209

9551 Watson Rd
Mercy Gohealth Crestwood
Saint Louis, MO 63126-1532
Phone (314) 501-1826

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Mar 26, 2018 Accepting new patients
Total Access Urgent Care, PC CurrentSince Mar 26, 2018 Accepting new patients
Mercy Clinic Adult Psychiatry, LLC Past Accepting new patients

Locations

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

Organizations & group practices 4

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": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1689984593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 ZUMBEHL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032723",
            "telephone_number": "636-206-2690",
            "fax_number": "636-206-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 ZUMBEHL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032723",
            "telephone_number": "636-206-2690",
            "fax_number": "636-206-2691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 S New Ballas Rd",
            "address_2": "Suite 7003-B",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631418232",
            "country_code": "US",
            "telephone_number": "314-251-5570",
            "fax_number": "314-251-5571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMP",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2010007135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.