MS. KRISTEN MARIE FARRIS (PA) – Physician Assistant, NPI 1255501896
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MS. KRISTEN MARIE FARRIS (PA)
1333, Cherry Glen Court, Westchester Place, Chesterfield, Saint Louis County, Missouri, 63017, United States
CHESTERFIELD, MO 630175562
Phone: (314) 606-4755
Type: Mailing
Copper Ridge Drive, Brookside, Garfield Township, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496847059
Phone: (888) 632-0542
Type: Location
20 PROGRESS POINT PKWY STE 100
O FALLON, MO 633682207
Phone: (636) 344-3105
Type: Mailing
10 HOSPITAL DR
DEPT EMERGENCY MED
SAINT PETERS, MO 633761659
Phone: (314) 362-9123
Fax: (314) 747-9160
Type: Location
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (314) 362-9123
Fax: (314) 747-9160
Type: Mailing
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: 2009-03-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080509000442 | I | Physician Assistant | IL | TBD |
| I20090320000324 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63017)
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