Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Krissa Ann Jefferis, RN, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1093052029

Krissa Ann Jefferis, RN, CPNP is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2010, 16 years ago. Practices with Gillette Childrens Specialty Healthcare, a 102-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
16
Licensed in
MN
In the registry since
2013
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

200 University Ave E
Saint Paul, MN 55101-2507
Phone: (651) 578-5242
Fax: (651) 229-3844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence R1738203 (MN)

Record details

NPI number1093052029
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , CPNP
Sole proprietorNo
NPI enumeratedJanuary 10, 2013
Last updated in NPPESJanuary 10, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Gillette Childrens Specialty Healthcare — 102 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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