MRS. KRISTIN ELIZABETH GROSSMAN (FNP-C) – Nurse Practitioner, NPI 1861884264
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161207001231 | I | Nurse Practitioner | MO | TBD |
| I20210208000334 | I | Nurse Practitioner | IL | TBD |
| I20211007000932 | I | Nurse Practitioner | WI | TBD |
| I20230322002518 | I | Nurse Practitioner | OK | 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.
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
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Vascular Surgery | IL | |
| P A T H O L O G Y | IL | |
| Sleep Medicine, Pediatric Medicine | MO | |
| P O D I A T R Y | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| General Surgery | MO | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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