Active NPI
McKinzie Jo Kizer, FNP
- Family Nurse Practitioner
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2025022894
- Practice address
- 3550 McKelvey Rd
Bridgeton, MO 63044-2527 - Phone
- (314) 741-0911
- Fax
- (314) 218-9622
- NPI assigned
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2025022894 | MO | Primary |
Addresses
Primary practice location
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Mailing address
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2120 Madison Ave
Suite 101
Granite City, IL 62040-4746
Phone (618) 876-8214
3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911
Hospital & facility affiliations
- Christian Hospital Northeast
- Gateway Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025022894 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Louis Heart & Vascular, P.C. | Current | Accepting new patients |
Locations
2120 Madison Ave
Ste 101
Granite City, IL 62040
Phone (618) 798-3000
3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048
1551 Wall St
Ste 410
Saint Charles, MO 63303
Phone (314) 838-5702
2325 Dougherty Ferry Rd
Ste 203
Saint Louis, MO 63122
Phone (314) 480-6445
3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796
11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136
Phone 3147410911 ext. 4012
105 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 639-6262
Interoperability endpoints
- mckinzie.kizer.p5@direct.ahgcardiology.nextgenshare.com
Organizations & group practices 1
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 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
- General Acute Care Hospital
- Granite City, IL
- NPI 1326765884
-
- Urgent Care Clinic/Center
- Glen Carbon, IL
- NPI 1700586344
Hospital
-
- Urgent Care Clinic/Center
- Columbia, IL
- NPI 1982304523
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1053290171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 MCKELVEY RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442527",
"telephone_number": "314-741-0911",
"fax_number": "314-218-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 MCKELVEY RD",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442527",
"telephone_number": "314-741-0911",
"fax_number": "314-218-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZER",
"first_name": "MCKINZIE",
"middle_name": "JO",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2025022894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.