Individual provider Active NPI

Kellie Hopkins, FNP

  • Family Nurse Practitioner
  • Festus, MO
National Provider Identifier
1952709099
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014039721 Issued in MO
Practice address
660A S Truman Blvd
Festus, MO 63028-2235
Phone
(636) 206-8049
Fax
(636) 206-8048
NPI assigned
Dec 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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 2014039721 MO Primary

Addresses

Primary practice location

660A S Truman Blvd
Festus, MO 63028-2235

Mailing address

660A S Truman Blvd
Festus, MO 63028-2235
Phone (636) 206-8049

Other practice location 1

1747 Smizer Station Rd Ste 5
Fenton, MO 63026-2784
Phone (636) 529-7000

Other practice location 2

24 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-3733

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
I20150128000331 MO Practitioner - Nurse Practitioner 4082938899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westglen Family Physicians LLCGroup PAC ID 3678506102, 8 clinicians

Practice addresses (Care Compare)

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969

225 Clarkson Rd
Ellisville, MO 63011-2278
Phone (636) 685-7715

653 Big Bend Rd
Manchester, MO 63021-7723
Phone (636) 685-7770

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2014039721MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family CurrentSince Sep 7, 2015 Accepting new patients
Mercy East Ambulatory Services LLC CurrentSince Jul 11, 2022 Accepting new patients
Mercy Clinic East Communities CurrentSince Sep 7, 2015 Accepting new patients
Westglen Family Physicians, LLC CurrentSince Dec 18, 2023 Accepting new patients

Locations

225 Clarkson Rd
Ellisville, MO 63011
Phone (636) 230-5050

660A S Truman Blvd
Festus, MO 63028
Phone (636) 931-3800

653 Big Bend Rd
Manchester, MO 63021
Phone (636) 685-7770

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

300 Winding Woods Dr
Ste 100
O Fallon, MO 63366
Phone (636) 240-0130

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

107 Piper Hill Dr
Ste 100
Saint Peters, MO 63376
Phone (636) 477-8757

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1952709099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660A S TRUMAN BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282235",
            "telephone_number": "636-206-8049",
            "fax_number": "636-206-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660A S TRUMAN BLVD",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282235",
            "telephone_number": "636-206-8049",
            "fax_number": "636-206-8048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1747 Smizer Station Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630262784",
            "country_code": "US",
            "telephone_number": "636-529-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Southtowne Dr",
            "address_purpose": "LOCATION",
            "city": "Potosi",
            "state": "MO",
            "postal_code": "636645729",
            "country_code": "US",
            "telephone_number": "573-438-3733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "KELLIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014039721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

Verify at the official NPI Registry.