MCKINZIE JO KIZER FNP
NPI 1053290171
Nurse Practitioner - Family in Bridgeton, MO

Q: What is Mckinzie Kizer's NPI number?

The NPI number for Mckinzie Kizer is 1053290171. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Q: What is Mckinzie Kizer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mckinzie Kizer was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2025PECOS EnrolledAccepts Medicare Assignment

3550 MCKELVEY RD, BRIDGETON, MO 63044(314) 741-0911(314) 218-9622 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mckinzie Jo Kizer Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKINZIE JO KIZER FNP (NPI 1053290171) is an individual family provider in Bridgeton, Missouri, licensed in Missouri (2025022894) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Gateway Regional Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053290171

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMCKINZIE JO KIZERCredential: FNP

Location Address3550 MCKELVEY RDBridgeton, MO 63044-2527

Mailing Address3550 Mckelvey RdBridgeton, MO 63044-2527 · (314) 741-0911 · Fax (314) 218-9622

Phone(314) 741-0911

Fax(314) 218-9622

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 2, 2025

NPPES CertifiedSeptember 2, 2025

✔ NPI 1053290171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2025022894

3550 MCKELVEY RD, Bridgeton, MO 63044

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mckinzie Jo Kizer Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729576483

PECOS Enrollment IDI20251023003294, I20251106000457

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gateway Regional Medical Center

Acute Care Hospitals · Granite City, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number140125

Location2100 Madison AvenueGranite City, IL 62040 · Madison County

Emergency services

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260180

Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANISHA P PACHBHAI CRNA

Nurse Anesthetist, Certified Registered