KRISTINA AMBER ENNIS FNP-BC
NPI 1477905933
Nurse Practitioner - Family in Springfield, MO
About Kristina Amber Ennis Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA AMBER ENNIS FNP-BC (NPI 1477905933) is an individual family provider in Springfield, Missouri, licensed in Missouri (2016023152) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristina Amber Ennis Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristina Ennis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Missouri enrollment
- 412 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 65804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
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 Kristina Ennis's NPI number?
The NPI number for Kristina Ennis is 1477905933. It was assigned to this individual provider in the NPPES registry on July 8, 2016.
Where is Kristina Ennis located?
Kristina Ennis practices at 3524 S Culpepper Cir, Springfield, MO 65804. The listed phone number is (417) 429-9630.
What is Kristina Ennis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristina Ennis enrolled in Medicare?
Yes. Kristina Ennis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristina Ennis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Ennis reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). 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 Kristina Ennis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kristina Ennis was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Kristina Amber Ennis, FNP-BC · NPI 1477905933
Family physician in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since July 8, 2016.
## Identity
- **NPI:** 1477905933 (Entity type: Individual)
- **Enumerated:** July 8, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2016023152 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 3524 S CULPEPPER CIR, Springfield, MO 65804-4270
- **Phone:** (417) 429-9630
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health, LLC (NPI 1689158487, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1477905933) · Data from the CMS NPPES public registry.