Kelly Elizabeth Ball, RN, NP
Individual provider Active NPI Acute Care Nurse Practitioner · Saint Louis, MO
NPI 1760935944 · NPPES record last updated Sep 28, 2016
Key facts
- NPI
- 1760935944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 2016034314 (MO)
- Practice address
- 3635 Vista Ave
Saint Louis, MO 63110-2539 - Phone
- (314) 577-8773
- NPI assigned
- Jul 25, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Vanderbilt University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Adult Hospitalists - St. Louis, LLC
Practice addresses (Care Compare)
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6075
Hospital & facility affiliations
- Mercy Hospital St Louis
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171013000611 | MO | Practitioner - Nurse Practitioner | 7810262037 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013015889 | MO | MD | Registered Nurse |
| 2016034314 | MO | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SLH Physicians LLC | Current |
Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Current |
Accepting new patients | |
| Mercy Clinic Adult Critical Care, LLC | Current |
Accepting new patients |
Locations
615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2013015889 | MO | |
| Acute Care Nurse Practitioner | 363LA2100X | 2016034314 | MO | Yes |
Addresses
Primary practice location
3635 Vista Ave
Saint Louis, MO 63110-2539
Mailing address
3635 Vista Ave
Saint Louis, MO 63110-2539
Other providers in Saint Louis, MO
- Adam Bales
- Dennis M Balfe
- Almira Balic
- Michelle S Baliss
- Amanda Balk
- Kelly Lynne Ball
- Leigh Rose Ball
- Viktor Ballada
- Hebri Ballal
- Heather Ballance
All providers in Saint Louis, MO · Acute Care Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.