MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C) – Nurse Practitioner, NPI 1861884264

MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C) is a healthcare provider. based in Kirkwood, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 11770-33 (WI). The NPI Number for MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C) is 1861884264

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C)
NPI
1861884264
Phone
(314) 687-2716
Address
441 N Kirkwood Rd
Enumeration Date
23 February 2015
Last Update Date
12 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6188993777
Graduation Year
2014 (12 years ago)
PAC ID
0749501906
Group Practice PAC ID
9234022567
Professional Enrollment ID
I20210208000334
Address ID
IL628646264MO602XXSTXX401

Contacts

Secure Messaging
kgrossman190341@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:11State licenses:2Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C)

  • 441 N Kirkwood Rd

    Kirkwood, MO 631223911

    Phone: (314) 687-2716

    Type: Location

  • 4921 W 18th St

    Lawrence, KS 660472090

    Phone: (785) 830-0100

    Type: Location

  • 1821 S Stoughton Rd

    Madison, WI 537162257

    Phone: (314) 989-6807

    Fax: (314) 989-2940

    Type: Location

  • 420 E Division St

    Fond Du Lac, WI 549354560

    Phone: (314) 989-6807

    Fax: (314) 989-2940

    Type: Location

  • 441 N KIRKWOOD RD

    KIRKWOOD, MO 631223911

    Phone: (314) 687-2716

    Type: Location

  • PO BOX 955534

    SAINT LOUIS, MO 631955534

    Phone:

    Type: Mailing

  • 30 RONNIES PLZ

    SAINT LOUIS, MO 631263552

    Phone: (314) 989-6807

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20161207001231INurse PractitionerMOTBD
I20210208000334INurse PractitionerILTBD
I20211007000932INurse PractitionerWITBD
I20230322002518INurse PractitionerOKTBD

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 63122)

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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: 9234022567View full group profile
NameSpecialtyState
Vascular SurgeryIL
P A T H O L O G YIL
Sleep Medicine, Pediatric MedicineMO
P O D I A T R YMO
Nurse PractitionerMO
Family PracticeMO
General SurgeryMO
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What is the registry number for MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C)?
The registry entry for MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C) shows NPI 1861884264.
Is MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C) currently accepting referrals based on NPI status?
Registry metadata lists MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C) as active.
How should patients interpret MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C)'s specialty?
The extract shows Nurse Practitioner for MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C). Clinical services aligned with this taxonomy classification.
What city is tied to MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C)?
The directory associates MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C) with Kirkwood, Missouri. Check all listed addresses for suites or satellite offices.
Who maintains MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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