Kristopher Mitchell Short
NPI 1215671128ActiveIndividual· Nurse Practitioner, Gerontology· Saint Joseph, MO
Nurse Practitioner, Gerontology in Saint Joseph, Missouri, licensed in MO, with an NPI issued in April 2022. Medicare paid $9,741 for services to 106 patients in 2024.
Overview
| NPI | 1215671128 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 26, 2022 |
| Last updated in NPPES | Oct 9, 2024 |
| Certified by provider | Oct 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 2022024067 | MO |
| Registered Nurse, Critical Care Medicine | 163WC0200X | 2003020380 | MO |
| Nurse Practitioner | 363L00000X | 2022024067 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 106 |
|---|---|
| Services billed | 108 across 5 procedure codes |
| Paid by Medicare | $9,741 |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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