Individual provider Active NPI

Kanitra Gerve, FNP-BC

  • Family Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1154134419
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025002507 Issued in MO
Practice address
510 Baxter Rd Ste 8
Chesterfield, MO 63017-7032
Phone
(314) 886-4510
Fax
(314) 886-4511
NPI assigned
Jan 30, 2025
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2025002507 MO Primary

Addresses

Primary practice location

510 Baxter Rd Ste 8
Chesterfield, MO 63017-7032

Mailing address

4678 Kellykris Dr
Saint Charles, MO 63304-3411
Phone (314) 877-9198

Other practice location 1

1000 Essington Rd
Joliet, IL 60435-2841
Phone (312) 883-0930

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
I20250723000326 IL Practitioner - Nurse Practitioner 5395251714 Reassigns benefits to 5 organizations
I20250804003831 MO Practitioner - Nurse Practitioner 5395251714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alton Urgent Care Walk in Clinic Company CurrentSince Jun 16, 2025 Accepting new patients
Belleville Urgent Care Walk-in Clinic CurrentSince Jun 16, 2025 Accepting new patients
Wood River Urgent Care and Walk in Clinic Inc CurrentSince Jun 16, 2025 Accepting new patients
Waterloo Urgent Care Walk in Clinic Company CurrentSince Jun 16, 2025 Accepting new patients
Granite City Urgent Care Walk-in Clinic CurrentSince Jun 16, 2025 Accepting new patients
Signify Health, LLC CurrentSince May 30, 2025 Accepting new patients
Brett a Taylor MD LLC PastSince Feb 2, 2025 Accepting new patients

Locations

1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320

2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053

2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723

907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200

211 Madison Ave
Wood River, IL 62095
Phone (618) 709-7723

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

2300 Main St
Fl 9
Kansas City, MO 64108
Phone (800) 416-1767

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1154134419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 KELLYKRIS DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633043411",
            "telephone_number": "314-877-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 BAXTER RD STE 8",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630177032",
            "telephone_number": "314-886-4510",
            "fax_number": "314-886-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Essington Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604352841",
            "country_code": "US",
            "telephone_number": "312-883-0930",
            "fax_number": "312-724-5823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERVE",
        "first_name": "KANITRA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-30",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025002507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.