Active NPI
Kori A Stechmesser, CRNA
- Certified Registered Nurse Anesthetist
- Fenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2004017929
- Practice address
- 1015 Bowles Ave
Fenton, MO 63026-2394 - Phone
- (314) 775-2816
- NPI assigned
- Mar 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2004017929 | MO | Primary |
Addresses
Primary practice location
1015 Bowles Ave
Fenton, MO 63026-2394
Mailing address
13515 Barrett Parkway Dr
Ste 170
Ballwin, MO 63021-5870
Phone (314) 775-2816
Other names 1
- Kori A Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1130 Town and Country Commons Dr
Town and Country, MO 63017-8200
Phone (636) 256-0320
12303 De Paul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone (314) 453-0600
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5000
Hospital & facility affiliations
- Missouri Baptist Medical Center
- SSM Health Depaul Hospital St Louis
- St Lukes Hospital
- SSM St Clare Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004017929 | MO | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro-West Anesthesia Group Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Missouri Baptist Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13515 Barrett Parkway Dr
Ste 170
Ballwin, MO 63021
Phone (314) 775-2811
400 S Woods Mill Rd
Ste 140
Chesterfield, MO 63017
Phone (314) 485-1101
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1245427335
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1609658905
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Chesterfield, MO
- NPI 1851254304
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
-
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1891037685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13515 BARRETT PARKWAY DR",
"address_2": "STE 170",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630215870",
"telephone_number": "314-775-2816",
"fax_number": "314-775-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 BOWLES AVE",
"city": "FENTON",
"state": "MO",
"postal_code": "630262394",
"telephone_number": "314-775-2816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STECHMESSER",
"first_name": "KORI",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-20",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2004017929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KORI",
"last_name": "JOHNSON",
"middle_name": "A",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.