Kristi Ross, | |
22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 | |
(417) 858-3731 | |
(417) 858-2562 |
Full Name | Kristi Ross |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 22361 Oak Ridge Dr, Shell Knob, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982008827 | NPI | - | NPPES |
PENDING | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2014035974 (Missouri) | Primary |
Entity Name | Revitalized Wellness Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760093025 PECOS PAC ID: 3173939758 Enrollment ID: O20210305000252 |
Mailing Address | Practice Location Address |
---|---|
Kristi Ross, Po Box 505164, Saint Louis, MO 63150-5164 Ph: (417) 829-4620 | Kristi Ross, 22361 Oak Ridge Dr, Shell Knob, MO 65747-7822 Ph: (417) 858-3731 |
Deirdre Stocks, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25376 State Highway 39 Ste 301, Shell Knob, MO 65747 Phone: 417-269-2470 Fax: 417-269-2473 | |
Michelle Gail O'connell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22361 Oak Ridge Dr, Shell Knob, MO 65747 Phone: 417-858-3731 | |
Lauren Nicole Argo, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25376 State Highway 39 Ste 301, Shell Knob, MO 65747 Phone: 417-236-2680 Fax: 417-236-2683 | |
Elizabeth Ann Cornelius, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22361 Oak Ridge Dr, Shell Knob, MO 65747 Phone: 417-858-3731 | |
Georgann Marie Greissinger, FNP CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25376 State Hwy 39, #301, Shell Knob, MO 65747 Phone: 417-236-2680 Fax: 417-236-2683 |