Individual provider Active NPI

Kristen Leigh Scaggs, FNP BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1891194650
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014016879 Issued in MO
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

Updated by the provider on Apr 18, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925000040 MO Practitioner - Nurse Practitioner 8820218811 Reassigns benefits to 4 organizations

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
Mercy East Ambulatory Services LLCGroup PAC ID 2365739240, 102 clinicians
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

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

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Apr 28, 2024 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Oct 6, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.