Individual provider Active NPI

Kierra K Calico, APRN

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1003567215
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022000769 Issued in MO
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

Updated by the provider on Oct 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220609001661 KS Practitioner - Nurse Practitioner 3678951209 Reassigns benefits to 2 organizations
I20230721000932 MO Practitioner - Nurse Practitioner 3678951209 Reassigns benefits to 1 organization
I20231017000118 IL Practitioner - Nurse Practitioner 3678951209 Reassigns benefits to 1 organization

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
Urology of St Louis IncGroup PAC ID 6204723786, 112 clinicians

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 Hospital, O Fallon, IL, CCN 140187
  • Anderson Hospital Hospital, Maryville, IL, CCN 140289
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Merit-based Incentive Payment System (MIPS)

Final score
79.16 of 100Reported as group
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

LicenseStateTypeSpecialty
209028348ILMDFamily Nurse Practitioner
53-80842-052KSMDFamily Nurse Practitioner
2022000769MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jun 8, 2022 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Jul 11, 2023 Accepting new patients
Health Partnership Clinic, Inc. Current Accepting new patients
Health Partnership Clinic, Inc. CurrentSince Apr 16, 2022 Accepting new patients
Urology of St. Louis, Inc. CurrentSince Jul 11, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.