Kristina A Potts (NPI# 1356747513, PAC ID# 2961710363) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1356747513 |
| PAC ID by PECOS | 2961710363 |
| Professional Enrollment ID | I20151005002442 |
| Full Name | Kristina A Potts |
| Organization Legal Name | EMERGENCY PHYSICIANS OF ST LUKES LLC |
| Address |
774 Gravois Bluffs Blvd Fenton MO 63026-7758 |
| Phone Number | 6363435223 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779714142 |
| Number of Group Practice Members | 74 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260179 | ST LUKES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 774 Gravois Bluffs Blvd, Fenton, MO 63026-7758 | 6363435223 | EMERGENCY PHYSICIANS OF ST LUKES LLC |
| 774 Gravois Bluffs Blvd, Suite B, Fenton, MO 63026-7758 | 6366857734 | FENTON FAMILY PHYSICIANS LLC |
| Organization Legal Name | EMERGENCY PHYSICIANS OF ST LUKES LLC |
| Physicians | 73 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meghan Michelle Henningsen | Family Medicine | Emergency Physicians of St Lukes LLC | 233 Clarkson Rd, Ellisville, MO 63011-2219 |
| Katherine E Clancy | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 1080 Lindemann Rd, Des Peres, MO 63131-4526 |
| Jodi C Green | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 455 S Kirkwood Rd, Kirkwood, MO 63122-6119 |
| Katarzyna Anne Kohler | Family Medicine | Emergency Physicians of St Lukes LLC | 233 Clarkson Rd, Ellisville, MO 63011-2219 |
| Brooke E Salas | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Michael E Fritsche | Emergency Medicine | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Mahmoud A Saleh | Internal Medicine | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Alicia D King | Family Medicine | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Laura Kleemanklein | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 11550 Olive Blvd, Saint Louis, MO 63141-7111 |
| Jennifer L Gwin | Nurse Practitioner | Emergency Physicians of St Lukes LLC | 232 S Woods Mill Rd, St Lukes Episcopal Presby Hospitals, Chesterfield, MO 63017-3417 |
| Street Address |
774 GRAVOIS BLUFFS BLVD |
| City | FENTON |
| State | MO |
| Zip | 63026-7758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Abigail Frochtzwajg | Family Medicine | Emergency Physicians of St Lukes LLC | 774 Gravois Bluffs Blvd, Fenton, MO 63026-7758 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Becker Koepke | Hematology/oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Naomi Sharon | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| David E Morris | Radiation Oncology | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Carol Yacula | Nurse Practitioner | Ssm Medical Group Inc | 1011 Bowles Ave, Suite G50, Fenton, MO 63026-0562 |
| Janelle Roethemeyer | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Sri D Kolli | Internal Medicine | American Multispecialty Group Inc | 1011 Bowles Ave, Suite 450, Fenton, MO 63026-0562 |
| Katherine C Schoo | Nurse Practitioner | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Matthew J Tiefenbrunn | Family Medicine | Mercy Clinic East Communities | 1375 N Hwy Dr, Mercy Clinic At Work Maritz, Fenton, MO 63026-1929 |
| Evelyn Barton | Physical Therapy | 1700 B Gilsinn Ln, Fenton, MO 63026-2004 | |
| Adeluola G Lipede | Thoracic Surgery | 960s Hwy Dr, Fenton, MO 63026-2023 | |
| Find all physicians in zip 63026 | |||
| City | FENTON |
| Zip Code | 63026 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FENTON + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.