KAREN CRIDER MSN, WHNP-BC
NPI 1336673458
Nurse Practitioner - Women's Health in Saint Louis, MO

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1031 BELLEVUE AVE, SUITE 400, SAINT LOUIS, MO 63117(314) 977-7455 Get Directions Write a Review

NPPES record last updated: April 14, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Crider Msn, Whnp-bc NPPES

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

KAREN CRIDER MSN, WHNP-BC (NPI 1336673458) is an individual women's health provider in Saint Louis, Missouri, licensed in Missouri (2017001303) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1336673458
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameKAREN CRIDERCredential: MSN, WHNP-BC
Location Address1031 BELLEVUE AVE, SUITE 400Saint Louis, MO 63117-1818
Mailing Address1031 Bellevue Ave, Suite 400Saint Louis, MO 63117-1818 · (314) 977-7455
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 14, 2017
NPI 1336673458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in MO · 2017001303
Also ListedRegistered NurseTaxonomy 163W00000X · License 2010022925 (MO)
1031 BELLEVUE AVE, Saint Louis, MO 63117

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 and accepts Medicare assignment

Karen Crider Msn, Whnp-bc 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 ID1759659691
PECOS Enrollment IDI20170616001191
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
115 services90 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

Surgery (Vascular Surgery)
1031 BELLEVUE AVE, SUITE 349
SAINT LOUIS, MO 63117
Physician Assistant
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117
Nurse Practitioner
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1031 BELLEVUE AVE
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE, SUITE 400
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE, SUITE 400
SAINT LOUIS, MO 63117
Neurological Surgery
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117

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 Karen Crider's NPI number?

The NPI number for Karen Crider is 1336673458. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Karen Crider located?

Karen Crider practices at 1031 Bellevue Ave Suite 400, Saint Louis, MO 63117. The listed phone number is (314) 977-7455.

What is Karen Crider's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Karen Crider enrolled in Medicare?

Yes. Karen Crider 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.

What insurance does Karen Crider accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Karen Crider 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 Karen Crider affiliated with any hospitals?

According to CMS data, Karen Crider is affiliated with Ssm St Joseph Health Center and St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Karen Crider was last updated on April 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.