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MS. KELLY MARIE HOUSTON ACNP
NPI 1679925366
Nurse Practitioner in Saint Louis, MO

Active since July 06, 2016PECOS EnrolledAccepts Medicare Assignment
79.29/100
CMS Quality Rating
3009 N BALLAS RD STE 260C, SAINT LOUIS, MO 63131(314) 996-7940(314) 996-7945 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2026, Apr 25, 2024, Apr 10, 2024 and 5 more (8 updates tracked since 2019).

About Ms. Kelly Marie Houston Acnp NPPES

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

MS. KELLY MARIE HOUSTON ACNP (NPI 1679925366) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2016023925) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Medical Center, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1679925366
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KELLY MARIE HOUSTONCredential: ACNP
Location Address3009 N BALLAS RD STE 260CSaint Louis, MO 63131-2382
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (314) 996-7940 · Fax (314) 996-7945
Phone(314) 996-7940
Fax(314) 996-7945
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 6, 2016
Last NPPES UpdateJune 4, 20268 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
✔ NPI 1679925366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2016023925
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 2016023925 (MO)
3009 N BALLAS RD STE 260C, Saint Louis, MO 63131
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Barnes Jewish Hospital Plz, Dept AnesthesiologySaint Louis, MO 63110-1003 · Phone (800) 862-9980 · Fax (314) 362-1185

Other Identifiers 1

Medicaid420077368MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Ms. Kelly Marie Houston Acnp 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 ID3274896220
PECOS Enrollment IDI20180404002570
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

2

Medicare enrollment records show Kelly Houston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Groups Lc
1.4 mi
Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 611 clinicians in this Medicare group
NPI 1285664268 (314) 996-7644
Washington University
10 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 405 clinicians in this Medicare group
NPI 1528005642 (314) 286-1045

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 4

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
293 services51 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services39 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services12 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63131 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.

79.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.46
Promoting Interoperability100
Improvement Activities40
Cost59.51

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATIE DENISE UPTON FNP-C
Nurse Practitioner
3009 N BALLAS RD STE 260C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7940
MAEGHAN ASHLEE WEGENER APRN, FNP
Nurse Practitioner
3009 N BALLAS RD STE 260C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7940
GABRIEL E SOTO M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
3009 N BALLAS RD STE 260C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7940
MRS. ELIZABETH ANN HUENEFELDT NP-C
Nurse Practitioner
3009 N BALLAS RD STE 260C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7940
DR. ANDREW J KRAINIK MD
Internal Medicine (Clinical Cardiac Electrophysiology)
3009 N BALLAS RD STE 260C
SAINT LOUIS, MO 63131
St. Louis County (314) 996-7940

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 Kelly Houston's NPI number?

The NPI number for Kelly Houston is 1679925366. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Kelly Houston located?

Kelly Houston practices at 3009 N Ballas Rd Ste 260C, Saint Louis, MO 63131. The listed phone number is (314) 996-7940.

What is Kelly Houston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kelly Houston enrolled in Medicare?

Yes. Kelly Houston 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 Kelly Houston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Houston reassigns Medicare benefits to 2 organizations: Physician Groups Lc (Saint Louis, MO) and Washington University (Saint Louis, MO). 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 Kelly Houston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Houston accept?

Health plans from UnitedHealthcare list Kelly Houston 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 Kelly Houston affiliated with any hospitals?

According to CMS data, Kelly Houston is affiliated with Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly Houston was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.