KRISTEN KELLERMAN (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1700340205
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for KRISTEN KELLERMAN (PMHNP)
400, Olive Street, Downtown, City of Saint Louis, Missouri, 63102, United States
SAINT LOUIS, MO 631032303
Phone: (314) 206-3700
Type: Mailing
1150 Graham Rd Ste 101&102
Florissant, MO 630318077
Phone: (314) 206-3900
Type: Location
3309 S KINGSHIGHWAY BLVD
SAINT LOUIS, MO 631391101
Phone: (314) 206-3700
Type: Mailing
11102, Lindbergh Business Court, Green Park, Saint Louis County, Missouri, 63123, United States
SAINT LOUIS, MO 631237810
Phone: (314) 206-3400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $49.
Total Amount is formed as General ($49) + Research ($0) + Ownership ($0) = $49.
Last reported payment date: 2023-07-10 • Largest payer in this snapshot: ITI, Inc. ($49).
Total Amount
$49
General + Research + Ownership
Payments
1
Total payment records
General Amount
$49
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $49 |
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: 2019-03-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190315000512 | I | Nurse Practitioner | MO | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 72 | 14 | $0 |
Insurance plans in this area (ZIP 63103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MO | |
| P S Y C H I A T R Y | MO | |
| Clinical Social Worker | MO | |
| Mental Health Counselor | MO | |
| P S Y C H I A T R Y | MO | |
| Clinical Social Worker | MO | |
| Clinical Social Worker | MO | |
| Mental Health Counselor | MO | |
| P S Y C H I A T R Y | OH | |
| Clinical Social Worker | MO |
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