MS. KORI VAUGHN AA-C
NPI 1629658349
Anesthesiologist Assistant in Saint Louis, MO

Q: What is Kori Vaughn's NPI number?

The NPI number for Kori Vaughn is 1629658349. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Q: What is Kori Vaughn's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kori Vaughn was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 08, 2021Accepts Medicare Assignment

91.6/100

CMS Quality Rating

615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 251-6000 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 10, 2021, Apr 8, 2021 (2 updates tracked since 2021).

On this page

About Ms. Kori Vaughn Aa-c NPPES

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

MS. KORI VAUGHN AA-C (NPI 1629658349) is an individual anesthesiologist assistant in Saint Louis, Missouri and active in the NPI registry since April 2021. She is affiliated with Grady Memorial Hospital and is a graduate of Other (2021).

NPPES Registry Identity

NPI1629658349

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameMS. KORI VAUGHNCredential: AA-C

Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221

Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 386-7679

Phone(314) 251-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 8, 2021

Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration

NPPES CertifiedAugust 10, 2021

✔ NPI 1629658349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

615 S NEW BALLAS RD, Saint Louis, MO 63141

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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

Ms. Kori Vaughn Aa-c 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 ID1355746298

PECOS Enrollment IDI20211116002485

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110079

Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County

Emergency services Birthing friendly

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.

91.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.42

Promoting Interoperability

100

Improvement Activities

Cost

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.

MRS. PATRICIA ANN RICE APN

Nurse Practitioner (Family)

615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6339

MARY BETH WALKER FNP

Nurse Practitioner (Family)

615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6000

LOVEPREET SINGH RANDHAWA MD

Internal Medicine

615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6339

DR. CONNOR ROBERT REIS DO

Internal Medicine

615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6930

MR. SHEBY THOMAS AA-S

Anesthesiologist Assistant

615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141

St. Louis County (636) 386-9224

JOSE L OLIVER SEGARRA

Dentist (General Practice)

615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6382

CAREN BIRKENKAMP PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 251-6000

ANAS M HASIC MD

Internal Medicine

615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

St. Louis County (314) 509-5305

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 Kori Vaughn's NPI number?

The NPI number for Kori Vaughn is 1629658349. It was assigned to this individual provider in the NPPES registry on April 8, 2021.

Where is Kori Vaughn located?

Kori Vaughn practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6000.

What is Kori Vaughn's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kori Vaughn enrolled in Medicare?

Yes. Kori Vaughn 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.

Is Kori Vaughn affiliated with any hospitals?

According to CMS data, Kori Vaughn is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kori Vaughn was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.