Individual provider Active NPI

Kelly McKinney, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1376929760
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2015028839 Issued in MO
Practice address
1225 Graham Rd Ste C-1340
Florissant, MO 63031-8019
Phone
(314) 953-6801
NPI assigned
Aug 7, 2015
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2015028839 MO
Family Nurse Practitioner 363LF0000X 2015028839 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2015028839 MO Primary
Primary Care Nurse Practitioner 363LP2300X 2015028839 MO

Addresses

Primary practice location

1225 Graham Rd Ste C-1340
Florissant, MO 63031-8019

Mailing address

1225 Graham Rd Ste 230C
Florissant, MO 63031-8012
Phone (314) 953-6801

Other practice location 1

400 Mid Rivers Mall Dr
Saint Peters, MO 63376-1577
Phone (866) 389-2727

Other practice location 2

8706 Manchester Rd Ste 106
Saint Louis, MO 63144-2733
Phone (314) 961-3570

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20150903000198 MO Practitioner - Nurse Practitioner 6204142425 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians

Practice addresses (Care Compare)

1225 Graham Rd
Suite C 1340
Florissant, MO 63031-8019
Phone (314) 953-6968

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
92.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015028839MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC CurrentSince Oct 1, 2024 Accepting new patients
Physician Groups LC CurrentSince Oct 1, 2024 Accepting new patients
Vpa PC CurrentSince Jan 1, 2026 Accepting new patients
Alpha Allied Mental Health Services LLC Psychiatric/Mental Health CurrentSince Aug 16, 2021 Accepting new patients
Vpa PC CurrentSince Jan 1, 2026 Accepting new patients
Qualia Healthcare LLC Family Current Accepting new patients

Locations

1225 Graham Rd
Ste 230C
Florissant, MO 63031

1225 Graham Rd
Ste C-1340
Florissant, MO 63031
Phone (314) 953-6093

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

1551 Wall St
Ste 110
Saint Charles, MO 63303
Phone (636) 493-9008

8706 Manchester Rd
Ste 106
Saint Louis, MO 63144
Phone (314) 961-3570

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1376929760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 GRAHAM RD STE 230C",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318012",
            "telephone_number": "314-953-6801",
            "fax_number": "314-953-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GRAHAM RD STE C-1340",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318019",
            "telephone_number": "314-953-6801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Mid Rivers Mall Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633761577",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8706 Manchester Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631442733",
            "country_code": "US",
            "telephone_number": "314-961-3570",
            "fax_number": "314-961-6450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "KELLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2015028839",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015028839",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015028839",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2015028839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1225 Graham Rd Ste C-1340",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630318019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.