DR. ANTHONY KRUSE M.D.
NPI 1306256375
Internal Medicine in Washington, MO
About Dr. Anthony Kruse M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANTHONY KRUSE M.D. (NPI 1306256375) is an individual internal medicine provider in Washington, Missouri, licensed in Missouri (2017021699) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Saint Louis University School Of Medicine (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Anthony Kruse 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.
Medicare Billing Reassignments
7Medicare enrollment records show Anthony Kruse reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, MO 63090
- Reassigned Medicare billing, Missouri enrollment
- 261 clinicians in this Medicare group
Washington, MO 63090
- Reassigned Medicare billing, Missouri enrollment
- 178 clinicians in this Medicare group
Wildwood, MO 63040
- Reassigned Medicare billing, Missouri enrollment
- 228 clinicians in this Medicare group
Troy, MO 63379
- Reassigned Medicare billing, Missouri enrollment
- 229 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 326 clinicians in this Medicare group
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
- 340 clinicians in this Medicare group
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 299 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital St Louis
Acute Care Hospitals · Saint Louis, MOMercy Hospital Washington
Acute Care Hospitals · Washington, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63090 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Anthony Kruse's NPI number?
The NPI number for Anthony Kruse is 1306256375. It was assigned to this individual provider in the NPPES registry on April 30, 2014.
Where is Anthony Kruse located?
Anthony Kruse practices at 901 E 5th St, Washington, MO 63090. The listed phone number is (636) 239-8231.
What is Anthony Kruse's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Anthony Kruse enrolled in Medicare?
Yes. Anthony Kruse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Anthony Kruse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Kruse reassigns Medicare benefits to 7 organizations: Mercy Clinic Adult Hospitalists - Washington, LLC (Washington, MO), Mercy Hospitals East Communities (Washington, MO), Mercy Clinic East Communities (Wildwood, MO), Mercy Hospital Lincoln (Troy, MO), Mercy Clinic Adult Hospitalists - St. Louis, LLC (Saint Louis, MO) and 2 more organizations, listed in the Medicare section above. Each 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 Anthony Kruse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Kruse accept?
Health plans from Anthem Blue Cross and Blue Shield list Anthony Kruse 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 Anthony Kruse affiliated with any hospitals?
According to CMS data, Anthony Kruse is affiliated with Mercy Hospital St Louis and Mercy Hospital Washington.
When was this NPI record last updated?
The NPPES record for Anthony Kruse was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Dr. Anthony Kruse, M.D. · NPI 1306256375
Internal Medicine physician in Washington, Missouri. Individual provider, active in the CMS NPPES registry since April 30, 2014.
## Identity
- **NPI:** 1306256375 (Entity type: Individual)
- **Enumerated:** April 30, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2017021699 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 E 5TH ST, Washington, MO 63090-3127
- **Phone:** (636) 239-8231 · **Fax:** (636) 390-7365
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Adult Hospitalists - Washington, LLC (NPI 1891943429, Washington, MO); Mercy Hospitals East Communities (NPI 1285664177, Washington, MO); Mercy Clinic East Communities (NPI 1164857397, Wildwood, MO); Mercy Hospital Lincoln (NPI 1962808733, Troy, MO); Mercy Clinic Adult Hospitalists - St. Louis, LLC (NPI 1841235108, Saint Louis, MO); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Saint Louis University School Of Medicine, class of 2014
## Record status
- **NPPES last updated:** April 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306256375) · Data from the CMS NPPES public registry.