KRISTIN R JENNINGS (DNP) – Nurse Practitioner, NPI 1144831124

KRISTIN R JENNINGS (DNP) is a healthcare provider. based in Potosi, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. 2020024770 (MO). The NPI Number for KRISTIN R JENNINGS (DNP) is 1144831124

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN R JENNINGS (DNP)
NPI
1144831124
Phone
(573) 438-9355
Address
1 SOUTHTOWNE DR
Enumeration Date
12 August 2020
Last Update Date
3 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737057870
Graduation Year
2020 (6 years ago)
PAC ID
5890113989
Group Practice PAC ID
3072421254
Professional Enrollment ID
I20200922002961
Address ID
MO636401439FA513XXSTXX401

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness95
Years active:5State licenses:1Other names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KRISTIN R JENNINGS (DNP)

  • 1 SOUTHTOWNE DR

    POTOSI, MO 636645729

    Phone: (573) 438-9355

    Type: Mailing

  • PO BOX 959354

    SAINT LOUIS, MO 631955729

    Phone: (573) 705-7870

    Fax: (314) 273-0123

    Type: Mailing

  • 1151 HAZEL LN

    FARMINGTON, MO 636401920

    Phone: (573) 705-7870

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $113.

Total Amount is formed as General ($113) + Research ($0) + Ownership ($0) = $113.

Last reported payment date: 2024-06-17 • Largest payer in this snapshot: ABBVIE INC. ($70).

Total Amount

$113

General + Research + Ownership

Payments

6

Total payment records

General Amount

$113

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200922002961INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63664)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072421254View full group profile
NameSpecialtyState
-MO
-MO
Family PracticeMO
Hospitalist, Family PracticeMO
Internal MedicineMO
-MO
Family PracticeMO
Internal MedicineIL
Internal Medicine, HospitalistMO
Nurse PractitionerMO

Reviews

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Frequently asked questions

Can I verify KRISTIN R JENNINGS (DNP) with an NPI only?
You can start verification with NPI 1144831124 for KRISTIN R JENNINGS (DNP), then check state licensing separately.
Is KRISTIN R JENNINGS (DNP) listed as active for patients and plans?
The listing shows KRISTIN R JENNINGS (DNP) as active in the NPI system.
What is KRISTIN R JENNINGS (DNP)'s specialty?
The listing groups KRISTIN R JENNINGS (DNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KRISTIN R JENNINGS (DNP) list a practice location?
Patients near Potosi, Missouri may find KRISTIN R JENNINGS (DNP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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