Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristina Potts

Individual provider Family Nurse Practitioner · NPI 1356747513

Kristina Potts is a Nurse Practitioner in Fenton, Missouri. Qualified in 2014, 12 years ago. Practices with SSM Health Care St Louis, a 175-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Licensed in
MO
In the registry since
2014
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Practice location Address checks out

774 Gravois Bluffs Blvd Ste B
Fenton, MO 63026
Phone: (636) 685-7734
Fax: (314) 590-5922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F1014589 (MO)

Record details

NPI number1356747513
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 14, 2014
Last updated in NPPESMay 15, 2018
Mailing address774 Gravois Bluffs Blvd Ste B, Fenton, MO 63026-7758

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Ssm Health Care St Louis — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fenton