Active NPI
Kristen Leigh Scaggs, FNP BC
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2014016879
- Practice address
- 621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141-8274 - Phone
- (314) 251-4659
- Fax
- (314) 251-5715
- NPI assigned
- Aug 18, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2014016879 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141-8274
Mailing address
PO Box 776084
Chicago, IL 60677-4760
Phone (314) 251-4659
Other practice location 1
660A S Truman Blvd
Festus, MO 63028-2235
Phone (636) 931-3800
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11445 Olive Blvd
Creve Coeur, MO 63141-7108
Phone (314) 428-9543
1500 Calvary Church Rd
Festus, MO 63028-4125
Phone (636) 933-2900
621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients |
Locations
660A S Truman Blvd
Festus, MO 63028
Phone (636) 931-3800
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
621 S New Ballas Rd
Ste 6017B
Saint Louis, MO 63141
Phone (314) 251-4652
11445 Olive Blvd
Saint Louis, MO 63141
Phone (314) 428-9543
555 Washington Sq
Washington, MO 63090
Phone (636) 390-1777
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
Interoperability endpoints
- kscaggs474718@directc.mercy.net
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1760706337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1891194650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776084",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606774760",
"telephone_number": "314-251-4659",
"fax_number": "314-251-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 6017B",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418274",
"telephone_number": "314-251-4659",
"fax_number": "314-251-5715"
}
],
"practiceLocations": [
{
"address_1": "660A S Truman Blvd",
"address_purpose": "LOCATION",
"city": "Festus",
"state": "MO",
"postal_code": "630282235",
"country_code": "US",
"telephone_number": "636-931-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCAGGS",
"first_name": "KRISTEN",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "FNP BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-18",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014016879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.