Individual provider Active NPI

Kayce Bourgette Hester, FNP

  • Family Nurse Practitioner
  • Richmond Heights, MO
National Provider Identifier
1114647039
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026485 Issued in IL
Practice address
6400 Clayton Rd Ste 302
Richmond Heights, MO 63117-1850
Phone
(314) 645-3370
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2022015303 MO
Family Nurse Practitioner 363LF0000X 209026485 IL Primary

Addresses

Primary practice location

6400 Clayton Rd Ste 302
Richmond Heights, MO 63117-1850

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (800) 647-2098

Other practice location 1

1418 Cross St
Div IM Medical Oncology, Ste 180
Shiloh, IL 62269-2914
Phone (800) 647-2098

Other identifiers 1

IdentifierTypeStateIssuer
420115728MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221103000231 IL Practitioner - Nurse Practitioner 8527435676 Reassigns benefits to 1 organization
I20260113003847 MO Practitioner - Nurse Practitioner 8527435676 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
Group practices
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

1404 Cross St
Shiloh, IL 62269-2988
Phone (314) 362-5641

6400 Clayton Rd
Suite 302
Richmond Heights, MO 63117-1850
Phone (314) 645-3370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.01 of 100Reported as group
Quality
76.14
Promoting interoperability
99
Improvement activities
40
Cost
76.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022015303MOMDNurse Practitioner
209026485ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University Physicians in Illinois, Inc CurrentSince Oct 31, 2022 Accepting new patients
SSM Medical Group, Inc. CurrentSince Dec 31, 2025 Accepting new patients
SSM Medical Group Inc. CurrentSince Dec 31, 2025 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Oct 31, 2022 Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations

1404 Cross St
Shiloh, IL 62269
Phone (618) 607-1000

1418 Cross St
Ste 180
Shiloh, IL 62269
Phone (618) 607-1340

1418 Cross St
Shiloh, IL 62269
Phone (618) 607-1419

4500 Memorial Dr
Swansea, IL 62226
Phone (618) 233-7750

6400 Clayton Rd
Ste 302
Saint Louis, MO 63117
Phone (314) 645-3370

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

Organizations & group practices 5

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 5

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1114647039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "800-647-2098",
            "fax_number": "618-622-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 CLAYTON RD STE 302",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171850",
            "telephone_number": "314-645-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 Cross St",
            "address_2": "Div IM Medical Oncology, Ste 180",
            "address_purpose": "LOCATION",
            "city": "Shiloh",
            "state": "IL",
            "postal_code": "622692914",
            "country_code": "US",
            "telephone_number": "800-647-2098",
            "fax_number": "618-622-9724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESTER",
        "first_name": "KAYCE",
        "middle_name": "BOURGETTE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2022015303",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420115728",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1418 Cross St",
            "address_2": "Div IM Medical Oncology, Ste 180",
            "city": "Shiloh",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622692914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond Heights, MO

Sources for this page

Verify at the official NPI Registry.