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: August 02, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Hospital Affiliations CMS Care Compare 2

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

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone 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.

Pharmacy (Community/Retail Pharmacy)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Pharmacist
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Dentist (General Practice)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Dentist
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Dentist
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Family Medicine
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Dentist (General Practice)
1511 CHRISTY DR
JEFFERSON CITY, MO 65101
Family Medicine
1511 CHRISTY DR
JEFFERSON CITY, MO 65101

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.

What insurance does Kristine Wall accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and UnitedHealthcare 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 and University Of Missouri Health Care.

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.