MRS. KRISTEN DOHERTY AA-C
NPI 1780005488
Anesthesiologist Assistant in St. Louis, MO

Active since December 23, 2013Accepts Medicare Assignment
615 S. NEW BALLAS RD., DEPT. OF ANESTHESIOLOGY, ST. LOUIS, MO 63141(314) 251-4687(636) 386-7679 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kristen Doherty Aa-c NPPES

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

MRS. KRISTEN DOHERTY AA-C (NPI 1780005488) is an individual anesthesiologist assistant in St. Louis, Missouri, licensed in Missouri (2014016080) and active in the NPI registry since December 2013. She is affiliated with Mercy Hospital St Louis and is a graduate of Other (2014).

NPPES Registry Identity

NPI1780005488
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameMRS. KRISTEN DOHERTYCredential: AA-C
Location Address615 S. NEW BALLAS RD., DEPT. OF ANESTHESIOLOGYSt. Louis, MO 63141
Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 386-7679
Fax(636) 386-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 23, 2013
Last NPPES UpdateOctober 15, 2015
NPI 1780005488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License Licensed in MO · 2014016080
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., St. Louis, MO 63141

Other Names 1

Former Name (1)Miss Kristen Dell Aa-c

Other Identifiers 1

Medicare PIN600290052MO

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

Mrs. Kristen Doherty 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 ID9335364983
PECOS Enrollment IDI20140715002242

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 2

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

Anesthesiologist Assistant
615 S. NEW BALLAS RD.
ST LOUIS, MO 63141
Anesthesiology
615 S. NEW BALLAS RD., DEPT. OF ANESTHESIA
ST. LOUIS, MO 63141

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 Kristen Doherty's NPI number?

The NPI number for Kristen Doherty is 1780005488. It was assigned to this individual provider in the NPPES registry on December 23, 2013. The provider is also known as Miss Kristen Dell Aa-C.

Where is Kristen Doherty located?

Kristen Doherty practices at 615 S. New Ballas Rd. Dept. Of Anesthesiology, St. Louis, MO 63141. The listed phone number is (314) 251-4687.

What is Kristen Doherty's specialty?

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

Is Kristen Doherty enrolled in Medicare?

Yes. Kristen Doherty 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 Kristen Doherty accept?

Health plans from Medica list Kristen Doherty 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 Kristen Doherty affiliated with any hospitals?

According to CMS data, Kristen Doherty is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Kristen Doherty was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.