Active NPI
Kimberly G Ranck-Weiss, N.P.
- Nurse Practitioner
- O'Fallon, MO
National Provider Identifier
1336344274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 125333
- Practice address
- 1101 Highway K
O Fallon, MO 63366-8431 - Phone
- (636) 379-6363
- NPI assigned
- Jun 20, 2007
- Last updated
- Oct 11, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 125333 | MO | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | 125333 | MO |
Addresses
Primary practice location
1101 Highway K
O Fallon, MO 63366-8431
Mailing address
PO Box 955534
Saint Louis, MO 63195-5534
Other practice location 1
400 1st Capitol Dr Ste 201
Saint Charles, MO 63301-2882
Phone (636) 379-6363
Other practice location 2
711 Veterans Memorial Pkwy Ste 200
Saint Charles, MO 63303-2106
Phone (636) 379-6363
Other practice location 3
201 Bjc Saint Peters Dr
suite 100
Saint Peters, MO 63376-3091
Phone (636) 916-8200
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kranckweiss518759@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St. Louis | Past | Accepting new patients | |
| SSM Depaul Medical Group, Inc. | Past | Accepting new patients |
Interoperability endpoints
- kranckweiss518759@direct-ehr-ssmhc.com
Organizations & group practices 2
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.
-
dba SSM Health Medical Group
- Internal Medicine Physician
- Maryland Heights, MO
- NPI 1760456743
-
dba SSM Health St. Joseph Hospital - St. Charles Physician Billing
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1336344274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955534",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631955534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HIGHWAY K",
"city": "O FALLON",
"state": "MO",
"postal_code": "633668431",
"telephone_number": "636-379-6363"
}
],
"practiceLocations": [
{
"address_1": "400 1st Capitol Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012882",
"country_code": "US",
"telephone_number": "636-379-6363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "711 Veterans Memorial Pkwy Ste 200",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633032106",
"country_code": "US",
"telephone_number": "636-379-6363",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "201 Bjc Saint Peters Dr",
"address_2": "suite 100",
"address_purpose": "LOCATION",
"city": "Saint Peters",
"state": "MO",
"postal_code": "633763091",
"country_code": "US",
"telephone_number": "636-916-8200",
"fax_number": "636-946-8533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANCK-WEISS",
"first_name": "KIMBERLY",
"middle_name": "G",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-20",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "125333",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MO",
"license": "125333",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kranckweiss518759@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kranckweiss518759@direct-ehr-ssmhc.com",
"address_1": "1101 Highway K",
"city": "O Fallon",
"state": "MO",
"country_code": "US",
"postal_code": "633668431",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1101 Highway K",
"city": "O Fallon",
"state": "MO",
"country_code": "US",
"postal_code": "633668431",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in O'Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.