KRISSA ANN JEFFERIS RN, CPNP
NPI 1093052029
Nurse Practitioner - Pediatrics in Saint Paul, MN

Q: What is Krissa Jefferis's NPI number?

The NPI number for Krissa Jefferis is 1093052029. It was assigned to this individual provider in the NPPES registry on January 10, 2013.

Q: What is Krissa Jefferis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Krissa Jefferis was last updated on January 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2013PECOS EnrolledAccepts Medicare Assignment

200 UNIVERSITY AVE E, SAINT PAUL, MN 55101(651) 578-5242(651) 229-3844 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Krissa Ann Jefferis Rn, Cpnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISSA ANN JEFFERIS RN, CPNP (NPI 1093052029) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (R1738203) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, is affiliated with Gillette Childrens Specialty Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093052029

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameKRISSA ANN JEFFERISCredential: RN, CPNP

Location Address200 UNIVERSITY AVE ESaint Paul, MN 55101-2507

Mailing Address200 University Ave ESaint Paul, MN 55101-2507 · (651) 578-5242 · Fax (651) 229-3844

Phone(651) 578-5242

Fax(651) 229-3844

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJanuary 10, 2013

✔ NPI 1093052029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in MN · R1738203

200 UNIVERSITY AVE E, Saint Paul, MN 55101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krissa Ann Jefferis Rn, Cpnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890933279

PECOS Enrollment IDI20130523000600

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gillette Childrens Specialty Hospital

Childrens · Saint Paul, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number243300

Location200 University Avenue EastSaint Paul, MN 55106 · Ramsey County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE FENG

Social Worker (Clinical)