Active NPI
Kierra K Calico, APRN
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2022000769
- Practice address
- 12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657 - Phone
- (314) 567-6071
- Fax
- (314) 453-9965
- NPI assigned
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209028348 | IL | |
| Family Nurse Practitioner | 363LF0000X | 53-80842-052 | KS | |
| Family Nurse Practitioner | 363LF0000X | 2022000769 | MO | Primary |
Addresses
Primary practice location
12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Mailing address
12855 N 40 Dr Ste 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071
Other practice location 1
326 Fountains Pkwy
Fairview Heights, IL 62208-2041
Phone (618) 277-3109
Other practice location 2
6812 State Route 162 Ste 200
Maryville, IL 62062-8562
Phone (618) 288-0900
Other practice location 3
12855 N 40 Dr Ste 350
Saint Louis, MO 63141-8669
Phone (314) 567-6071
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS, MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12855 N 40 Dr
Suite 375
Saint Louis, MO 63141-8657
Phone (314) 567-6071
6812 State Route 162 200
Maryville, IL 62062-8562
Phone (618) 288-0900
Hospital & facility affiliations
- HSHS St Elizabeth'S Hospital
- Anderson Hospital
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.16 of 100
- Quality
- 55.68
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.84
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209028348 | IL | MD | Family Nurse Practitioner |
| 53-80842-052 | KS | MD | Family Nurse Practitioner |
| 2022000769 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of Kansas LLC | Current | Accepting new patients | |
| Urology of St. Louis, Inc. | Current | Accepting new patients | |
| Health Partnership Clinic, Inc. | Current | Accepting new patients | |
| Health Partnership Clinic, Inc. | Current | Accepting new patients | |
| Urology of St. Louis, Inc. | Current | Accepting new patients | |
| Urology of St. Louis, Inc. | Past | Accepting new patients |
Locations
326 Fountains Pkwy
Fairview Heights, IL 62208
Phone (618) 277-3109
6812 State Route 162
Ste 200
Maryville, IL 62062
Phone (618) 288-0900
407 S Clairborne Rd
Ste 207
Olathe, KS 66062
Phone (913) 276-7010
405 S Clairborne Rd
Ste 2
Olathe, KS 66062
Phone (913) 390-7816
1604 Industrial Park Dr
Paola, KS 66071
Phone (913) 294-9223
9119 W 74th St
Ste 210
Shawnee Mission, KS 66204
Phone (913) 432-3334
12855 N 40 Dr
Ste 375
Saint Louis, MO 63141
12855 N 40 Dr
Saint Louis, MO 63141
Phone (314) 432-4415
12855 N 40 Dr
Ste 350
Saint Louis, MO 63141
Phone (314) 205-1926
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- kierracalico@slus.allscriptsdirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Olathe, KS
- NPI 1265785232
-
- Multi-Specialty Clinic/Center
- Wichita, KS
- NPI 1780261701
-
- Federally Qualified Health Center (FQHC)
- Olathe, KS
- NPI 1346820958
-
- Specialist
- O Fallon, IL
- NPI 1265392476
-
- Urology Physician
- Fairview Heights, IL
- NPI 1528901287
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
-
- General Acute Care Hospital
- Maryville, IL
- NPI 1053481630
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1003567215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12855 N 40 DR STE 375",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418657",
"telephone_number": "314-567-6071",
"fax_number": "314-453-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12855 N 40 DR STE 375",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418657",
"telephone_number": "314-567-6071",
"fax_number": "314-453-9965"
}
],
"practiceLocations": [
{
"address_1": "326 Fountains Pkwy",
"address_purpose": "LOCATION",
"city": "Fairview Heights",
"state": "IL",
"postal_code": "622082041",
"country_code": "US",
"telephone_number": "618-277-3109",
"fax_number": "314-453-4931",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6812 State Route 162 Ste 200",
"address_purpose": "LOCATION",
"city": "Maryville",
"state": "IL",
"postal_code": "620628562",
"country_code": "US",
"telephone_number": "618-288-0900",
"fax_number": "618-288-0909",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12855 N 40 Dr Ste 350",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418669",
"country_code": "US",
"telephone_number": "314-567-6071",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CALICO",
"first_name": "KIERRA",
"middle_name": "K",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-10",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209028348",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KS",
"license": "53-80842-052",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2022000769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.