Kimberli Louise Campbell, MSN, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2018003489 Issued in MO

Practice address

232 S Woods Mill Rd
Chesterfield, MO 63017-3406

Phone

(314) 205-6736

Fax

(314) 576-2319

NPI assigned

Feb 4, 2018

Sex

Female

Sole proprietor

Yes

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.

• Emergency Physicians of St. Luke'S, LLC

  • Emergency Medicine Physician
  • Chesterfield, MO
  • NPI 1215359815

  MO

  Medicare reassignment Care Compare group NPD
• Family Medicine - SLMG South, LLC

  • Family Medicine Physician
  • Imperial, MO
  • NPI 1164077822

  MO

  Medicare reassignment NPD
• Physician Specialists of St Lukes LLC

  • Internal Medicine Physician
  • Chesterfield, MO
  • NPI 1235168410

  MO

  Medicare reassignment NPD
• St. Lukes Medical Group

  • Family Medicine Physician
  • Chesterfield, MO
  • NPI 1215308945
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St. Lukes Episcopal-Presbyterian Hospital

  • General Acute Care Hospital
  • Chesterfield, MO
  • NPI 1346251543

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians of St Lukes LLC 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Merit-based Incentive Payment System (MIPS)

Final score

92.71 of 100Reported as apm

Quality

82.25

Promoting interoperability

100

Improvement activities

40

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1517702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1861991994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD STE 580",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173513",
            "telephone_number": "314-205-6736",
            "fax_number": "314-576-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173406",
            "telephone_number": "314-205-6736",
            "fax_number": "314-576-2319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 S Woods Mill Rd Ste 580",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630173513",
            "country_code": "US",
            "telephone_number": "314-205-6736",
            "fax_number": "314-576-2319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KIMBERLI",
        "middle_name": "LOUISE",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018003489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke William Calvin
• Dorothy Cambron
• Gary Hubert Campbell, DO
• J William Campbell, M.D.
• Jesica Campbell, N.P.
• Lorie Campbell
• Paige Campbell
• Jennifer Diana Canale, NP
• Marcos Christian Candia, MS-CCC-SLP
• Michael E Cannon, MD

• All providers in Chesterfield, MO
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.