KRISTIN REANE KNETZER FNP
NPI 1396477956
Nurse Practitioner - Family in Rolla, MO

Q: What is Kristin Knetzer's NPI number?

The NPI number for Kristin Knetzer is 1396477956. It was assigned to this individual provider in the NPPES registry on June 30, 2022. The provider is also known as Kristin Reane Mitchell Fnp.

Q: What is Kristin Knetzer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristin Knetzer was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since June 30, 2022PECOS EnrolledAccepts Medicare Assignment

1050 W 10TH ST, ROLLA, MO 65401(573) 364-9000(573) 202-2484 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 13, 2025, Aug 20, 2024, Jul 30, 2024 and 1 more (4 updates tracked since 2024).

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About Kristin Reane Knetzer Fnp NPPES

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

KRISTIN REANE KNETZER FNP (NPI 1396477956) is an individual family provider in Rolla, Missouri, licensed in Missouri (2020034590) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396477956

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTIN REANE KNETZERCredential: FNP

Location Address1050 W 10TH STRolla, MO 65401-2905

Mailing Address1050 W 10th StRolla, MO 65401-2905 · (573) 364-9000

Phone(573) 364-9000

Fax(573) 202-2484

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 30, 2022

Last NPPES UpdateFebruary 13, 20254 updates tracked since enumeration

NPPES CertifiedFebruary 13, 2025

✔ NPI 1396477956 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 · 2020034590

1050 W 10TH ST, Rolla, MO 65401

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Other Names 1

Former Name (1)Kristin Reane Mitchell Fnp

Secondary Practice Locations 2

Location 17601 Highway 137Houston, MO 65483-2325 · Phone (417) 217-6369

Location 21000 W 10th StRolla, MO 65401-2905 · Phone (573) 458-8899 · Fax (573) 341-5611

Accepted Insurance

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

Kristin Reane Knetzer Fnp 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 ID1951847052

PECOS Enrollment IDI20240725001060

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 Kristin Knetzer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pcrmc Medical Group, Inc

Same address

Physical Medicine & Rehabilitation

1050 W 10TH ST
Rolla, MO 65401

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

NPI 1508056540 (573) 458-3431

Phelps County Regional Medical Center

Same address

Rural Health

1050 W 10TH ST
Rolla, MO 65401

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

NPI 1366066037 (573) 364-9000

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 2

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 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.

53 services52 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number260017

Location1000 W 10th StRolla, MO 65401 · Phelps County

Emergency services Birthing friendly

Salem Memorial District Hospital

Critical Access Hospitals · Salem, MO

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number261318

LocationPO Box 774,Salem, MO 65560 · Dent County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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.

YAM SHARMA

Pediatrics