KELLY NICOLE ST. JOHN ACNP
NPI 1780912550
Nurse Practitioner - Acute Care in Anchorage, AK

Active since December 05, 2009PECOS EnrolledAccepts Medicare Assignment
87.09/100
CMS Quality Rating
4315 DIPLOMACY DR, ANCHORAGE, AK 99508(907) 729-4750(907) 729-1831 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Nicole St. John Acnp NPPES

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

KELLY NICOLE ST. JOHN ACNP (NPI 1780912550) is an individual acute care provider in Anchorage, Alaska, licensed in Alaska (1118) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1780912550
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLY NICOLE ST. JOHNCredential: ACNP
Location Address4315 DIPLOMACY DRAnchorage, AK 99508-5926
Mailing Address4315 Diplomacy DrAnchorage, AK 99508-5926 · (907) 729-4750 · Fax (907) 729-1831
Fax(907) 729-1831
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 5, 2009
Last NPPES UpdateJanuary 21, 2015
NPI 1780912550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AK · 1118
4315 DIPLOMACY DR, Anchorage, AK 99508

Other Names 1

Former Name (1)Kelly Nicole Carr

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

Kelly Nicole St. John 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 ID345376752
PECOS Enrollment IDI20140523000361
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.

Areas of Expertise CMS Part B claims 12

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
309 services267 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
284 services210 patients
Electrocardiogram (ecg) 2-day continuous with review by health care professional 93227
An Electrocardiogram (ECG) is a test that checks your heart's activity. The 2-day continuous ECG records your heart's rhythm non-stop for 48 hours. It helps to detect irregularities that may not occur during a shorter test. A healthcare professional will review the results to identify any issues.
53 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services37 patients
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.
30 services28 patients
Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248
This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99508 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

87.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.43
Promoting Interoperability100
Improvement Activities40
Cost62.86

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.

Physical Therapist
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Respiratory Therapist, Certified
4315 DIPLOMACY DR, ATTN SHERRY REEDY
ANCHORAGE, AK 99508
Pharmacist
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Family Medicine
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Pharmacist (Pharmacotherapy)
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
General Acute Care Hospital
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Nurse Practitioner (Acute Care)
4315 DIPLOMACY DR
ANCHORAGE, AK 99508
Radiology (Body Imaging)
4315 DIPLOMACY DR
ANCHORAGE, AK 99508

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 St. John's NPI number?

The NPI number for Kelly St. John is 1780912550. It was assigned to this individual provider in the NPPES registry on December 5, 2009. The provider is also known as Kelly Nicole Carr.

Where is Kelly St. John located?

Kelly St. John practices at 4315 Diplomacy Dr, Anchorage, AK 99508. The listed phone number is (907) 729-4750.

What is Kelly St. John's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kelly St. John enrolled in Medicare?

Yes. Kelly St. John 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 Kelly St. John accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Kelly St. John 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.

When was this NPI record last updated?

The NPPES record for Kelly St. John was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.