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KRISTINE WALL NP
NPI 1275380628
Nurse Practitioner - Family in Jefferson City, MO

Active since May 03, 2024PECOS Enrolled
1511 CHRISTY DR, JEFFERSON CITY, MO 65101(573) 632-2777(573) 632-2769 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kristine Wall Np NPPES

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

KRISTINE WALL NP (NPI 1275380628) is an individual family provider in Jefferson City, Missouri, licensed in Missouri (2024015564) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital Jefferson City, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275380628
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKRISTINE WALLCredential: NP
Location Address1511 CHRISTY DRJefferson City, MO 65101-2854
Mailing AddressPo Box 104780Jefferson City, MO 65110-4780
Phone(573) 632-2777
Fax(573) 632-2769
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 3, 2024
NPPES CertifiedMay 3, 2024
✔ NPI 1275380628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2024015564
1511 CHRISTY DR, Jefferson City, MO 65101
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristine Wall Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294277166
PECOS Enrollment IDI20240606002330
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 Reassignment

Medicare enrollment records show Kristine Wall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Ctr Of Central Missouri
Same address
Federally Qualified Health Center (FQHC)
1511 CHRISTY DR
Jefferson City, MO 65101
  • Reassigned Medicare billing, Missouri enrollment
  • 32 clinicians in this Medicare group
NPI 1972001386 (573) 632-2777

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

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital Jefferson City

Acute Care Hospitals · Jefferson City, MO
3/5 CMS rating
OwnershipProprietary
CMS Certification Number260011
Location2505 Mission DriveJefferson City, MO 65109 · Cole County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65101 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

COMMUNITY HEALTH CTR OF CENTRAL MISSOURI
Pharmacy (Community/Retail Pharmacy)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Cole County (573) 632-2777
DR. AMANDA RUDDER PHARMD
Pharmacist
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Cole County (573) 606-6924
DR. RYAN J SMITH DDS
Dentist (General Practice)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Cole County (573) 632-2777
MIKAYLIE PARCO DDS
Dentist
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Cole County (573) 632-2777
TAYLOR CHRISTIANSEN DDS
Dentist
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Cole County (573) 632-2777
REBECCA LYNN HOGG M.D.
Family Medicine
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Cole County (573) 632-2777
DIANA SULEMAN DMD
Dentist (General Practice)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Cole County (573) 632-2777
CRYSTAL SULLIVAN D.O.
Family Medicine
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Cole County (573) 632-2777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristine Wall's NPI number?

The NPI number for Kristine Wall is 1275380628. It was assigned to this individual provider in the NPPES registry on May 3, 2024.

Where is Kristine Wall located?

Kristine Wall practices at 1511 Christy Dr, Jefferson City, MO 65101. The listed phone number is (573) 632-2777.

What is Kristine Wall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kristine Wall enrolled in Medicare?

Yes. Kristine Wall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristine Wall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Wall reassigns Medicare benefits to Community Health Ctr Of Central Missouri (Jefferson City, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Wall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristine Wall accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list Kristine Wall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kristine Wall affiliated with any hospitals?

According to CMS data, Kristine Wall is affiliated with Ssm Health St Mary's Hospital Jefferson City.

When was this NPI record last updated?

The NPPES record for Kristine Wall was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.