Individual provider Active NPI

Kallie Bateman, FNP-BC

  • Family Nurse Practitioner
  • Exeter, MO
National Provider Identifier
1881311512
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023007998 Issued in MO
Practice address
4742 Farm Road 2140
Exeter, MO 65647-7260
Phone
(417) 342-3598
NPI assigned
Oct 24, 2022
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2023007998 MO
Family Nurse Practitioner 363LF0000X 2023007998 MO Primary
Registered Nurse 163W00000X 2018002456 MO

Addresses

Primary practice location

4742 Farm Road 2140
Exeter, MO 65647-7260

Mailing address

4742 Farm Road 2140
Exeter, MO 65647-7260

Other practice location 1

2101 Corona Rd Ste 102
Columbia, MO 65203-2582
Phone (573) 234-1800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kallie.Bateman@BHM.gehrimeddirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 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
I20230828000711 MO Practitioner - Nurse Practitioner 7719340520 Reassigns benefits to 4 organizations
I20260508001252 AR Practitioner - Nurse Practitioner 7719340520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Appello Health and Wellness Clinic LLCGroup PAC ID 3971043290, 76 clinicians
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians

Practice addresses (Care Compare)

2223 Grant St
Malvern, AR 72104-4700
Phone (501) 337-9031

2885 Technology Dr
Lake St Louis, MO 63367-4123
Phone (337) 991-9276

403 W Main St
Cole Camp, MO 65325-1144
Phone (337) 991-9276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018002456MOMDRegistered Nurse
2023007998MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC Single Specialty CurrentSince Oct 24, 2024 Accepting new patients
Barnes Health LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Curana Health of Missouri-Kansas LLC Single Specialty CurrentSince Oct 25, 2024 Accepting new patients
Barnes Health Care Management Group LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515

2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800

1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930

1333 Scenic Dr
Herculaneum, MO 63048
Phone (636) 931-2995

11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

621 Carondelet Dr
Kansas City, MO 64114
Phone (816) 941-1300

2885 Technology Dr
Lake St Louis, MO 63367
Phone (314) 259-1044

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894

4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471

2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

1441 Charic Dr
Wildwood, MO 63021
Phone (636) 394-2522

Interoperability endpoints

  • Direct secure messaging: kallie.bateman@bhm.gehrimeddirect.com

Organizations & group practices 5

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": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1881311512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4742 FARM ROAD 2140",
            "city": "EXETER",
            "state": "MO",
            "postal_code": "656477260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4742 FARM ROAD 2140",
            "city": "EXETER",
            "state": "MO",
            "postal_code": "656477260",
            "telephone_number": "417-342-3598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Corona Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652032582",
            "country_code": "US",
            "telephone_number": "573-234-1800",
            "fax_number": "573-234-1799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "KALLIE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2023007998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023007998",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2018002456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kallie.Bateman@BHM.gehrimeddirect.com",
            "affiliation": "N",
            "address_1": "2101 Corona Rd Ste 102",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652032582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Exeter, MO

Sources for this page

Verify at the official NPI Registry.