DR. KALLIE LOUISE HARRISON M.D.
NPI 1104118249
Obstetrics & Gynecology in Saint Louis, MO

Q: What is Kallie Harrison's NPI number?

The NPI number for Kallie Harrison is 1104118249. It was assigned to this individual provider in the NPPES registry on May 9, 2011.

Q: What is Kallie Harrison's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Kallie Harrison was last updated on July 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 09, 2011PECOS EnrolledAccepts Medicare Assignment

615 S NEW BALLAS RD STE 1400, SAINT LOUIS, MO 63141(314) 251-7498 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2021, Feb 22, 2021, Jul 19, 2017 (3 updates tracked since 2017).

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About Dr. Kallie Louise Harrison M.d. NPPES

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

DR. KALLIE LOUISE HARRISON M.D. (NPI 1104118249) is an individual obstetrics & gynecology provider in Saint Louis, Missouri, licensed in Missouri (2011016845) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Saint Louis University School Of Medicine (2011).

NPPES Registry Identity

NPI1104118249

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. KALLIE LOUISE HARRISONCredential: M.D.

Location Address615 S NEW BALLAS RD STE 1400Saint Louis, MO 63141-8221

Mailing Address615 S New Ballas Rd Ste 1400Saint Louis, MO 63141-8221 · (314) 251-7498

Phone(314) 251-7498

Sole ProprietorNo

Medical School CMSSaint Louis University School Of MedicineGraduated 2011

Enumeration DateMay 9, 2011

Last NPPES UpdateJuly 16, 20213 updates tracked since enumeration

NPPES CertifiedJuly 16, 2021

✔ NPI 1104118249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in MO · 2011016845✔ Licensed in IL · 036-137005

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

615 S NEW BALLAS RD STE 1400, Saint Louis, MO 63141

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kallie Louise Harrison M.d. 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 ID345553160

PECOS Enrollment IDI20210602003085

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.

Medicare Billing Reassignments

Medicare enrollment records show Kallie Harrison reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinic East Communities

Same address

Family Medicine

615 S NEW BALLAS RD, ADMINISTRATION BUILDING, 5TH FLOOR
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
744 clinicians in this Medicare group

NPI 1043574940 (314) 251-6000

Mercy Hospitals East Communities

Same address

Clinic/Center

615 S NEW BALLAS RD
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1255790762 (Missouri)
435 clinicians in this Medicare group

NPI 1851431738 (314) 251-6382

Mercy Womens Services LLC

Same address

Obstetrics & Gynecology

621 S NEW BALLAS RD
Saint Louis, MO 63141

Reassigned Medicare billing, Missouri enrollment
64 clinicians in this Medicare group

NPI 1629327788 (314) 251-6462

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$128.28 typical visit price

range $55.65 – $169.38

Typical copayment $32.07 (range $13.91 – $42.34)

Most-billed visit code 99204

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 8

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

MARSHA JENNIFER HILL CNM

Midwife