Active NPI
Kristina Marie Anderson, M.D.
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2012016475
- Practice address
- 3009 N Ballas Rd Ste 226a
Saint Louis, MO 63131-2337 - Phone
- (314) 996-4900
- Fax
- (314) 996-4901
- NPI assigned
- Jun 14, 2012
- Last updated
- Mar 31, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2012016475 | MO | Primary |
| Family Medicine Physician | 207Q00000X | 2019005958 | IL |
Addresses
Primary practice location
3009 N Ballas Rd Ste 226a
Saint Louis, MO 63131-2337
Mailing address
PO Box 959354
Saint Louis, MO 63195-1284
Phone (314) 996-4900
Other practice location 1
3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone (618) 233-5480
Other practice location 2
1296 Jeffco Blvd
Arnold, MO 63010-2138
Phone (636) 321-8600
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) | |
| Direct Messaging Address | kanderson310088@direct-ehr-ssmhc.com | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Missouri, Columbia School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1296 Jeffco Blvd
Arnold, MO 63010-2138
Phone (314) 238-9108
2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454
3009 N Ballas Rd
Suite 227a
Saint Louis, MO 63131-2308
Phone (314) 996-7800
Hospital & facility affiliations
- SSM Health at Home Home Health-St. Louis
- SSM St Clare Health Center
- Memorial Hospital
- Missouri Baptist Medical Center
- Barnes Jewish Hospital
- Mercy Hospital South
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019005958 | IL | MD | Family Medicine Physician |
| 2012016475 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| Physician Groups LC | Family Medicine | Past | Accepting new patients |
| SSM Health Care St. Louis | Past | Accepting new patients | |
| Physician Groups LC | Past | Accepting new patients |
Locations
1296 Jeffco Blvd
Arnold, MO 63010
Phone (636) 321-8600
3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
441 N Kirkwood Rd
Saint Louis, MO 63122
Phone (314) 687-2716
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba SSM Health Medical Group
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
dba SSM Health Medical Group
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
dba Medical Arts Clinic
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SSM Health at Home Home Health St Louis
- Home Health Agency
- Saint Louis, MO
- NPI 1609840552
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
dba SSM Health St. Clare Hospital - Fenton
- General Acute Care Hospital
- Fenton, MO
- NPI 1851496152
-
dba Memorial Hospital
- General Acute Care Hospital
- Belleville, IL
- NPI 1982796181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1972865020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959354",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631951284",
"telephone_number": "314-996-4900",
"fax_number": "314-996-4901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 N BALLAS RD STE 226A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312337",
"telephone_number": "314-996-4900",
"fax_number": "314-996-4901"
}
],
"practiceLocations": [
{
"address_1": "3 Saint Elizabeth Blvd Ste 4000",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622691284",
"country_code": "US",
"telephone_number": "618-233-5480",
"fax_number": "618-222-4792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1296 Jeffco Blvd",
"address_purpose": "LOCATION",
"city": "Arnold",
"state": "MO",
"postal_code": "630102138",
"country_code": "US",
"telephone_number": "636-321-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "KRISTINA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-14",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2012016475",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "2019005958",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1296 Jeffco Blvd",
"city": "Arnold",
"state": "MO",
"country_code": "US",
"postal_code": "630102138",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3009 N Ballas Rd Ste 226A",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631312337",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kanderson310088@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kanderson310088@direct-ehr-ssmhc.com",
"address_1": "1296 Jeffco Blvd",
"city": "Arnold",
"state": "MO",
"country_code": "US",
"postal_code": "630102138",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Mar 31, 2026; 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.