Individual provider Active NPI

Kayla Bone, MSN, APRN FNP BC

  • Family Nurse Practitioner
  • Fredericktown, MO
National Provider Identifier
1336875830
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022027524 Issued in MO
Practice address
735 W Main St
Fredericktown, MO 63645-1113
Phone
(573) 783-8875
NPI assigned
Jul 27, 2022
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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 2022027524 MO Primary

Addresses

Primary practice location

735 W Main St
Fredericktown, MO 63645-1113

Mailing address

3119 Highway J
Fredericktown, MO 63645-8461
Phone (573) 561-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20220920001774 MO Practitioner - Nurse Practitioner 9234514738 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
53.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2022027524MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care Associates, Inc CurrentSince Aug 1, 2023 Accepting new patients
Community Health Care Associates, Inc CurrentSince Aug 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Jun 28, 2023 Accepting new patients
A Care, LLC CurrentSince Jul 14, 2022 Accepting new patients

Locations

1000 N Truman Blvd
Ste A
Crystal City, MO 63019
Phone (636) 931-2320

1153 E Gannon Dr
Festus, MO 63028
Phone (636) 282-0380

1301 Ymca Dr
Ste 600
Festus, MO 63028
Phone (636) 931-2120

735 W Main St
Fredericktown, MO 63645
Phone (573) 747-9703

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18488/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1336875830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 HIGHWAY J",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636458461",
            "telephone_number": "573-561-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 W MAIN ST",
            "city": "FREDERICKTOWN",
            "state": "MO",
            "postal_code": "636451113",
            "telephone_number": "573-783-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONE",
        "first_name": "KAYLA",
        "credential": "MSN, APRN FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022027524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericktown, MO

Sources for this page

Verify at the official NPI Registry.