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KELLI ELIZABETH BUNTAINE FNP-C
NPI 1073279568
Nurse Practitioner - Family in O Fallon, MO

Active since November 09, 2021PECOS EnrolledAccepts Medicare Assignment
2991 HIGHWAY K, O FALLON, MO 63368(636) 435-2333(314) 626-8009 Get Directions Write a Review

NPPES record last updated: December 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2022, May 25, 2022, Nov 9, 2021 (3 updates tracked since 2021).

About Kelli Elizabeth Buntaine Fnp-c NPPES

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

KELLI ELIZABETH BUNTAINE FNP-C (NPI 1073279568) is an individual family provider in O Fallon, Missouri, licensed in Missouri (2022015784) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Lake St Louis.

NPPES Registry Identity

NPI1073279568
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLI ELIZABETH BUNTAINECredential: FNP-C
Location Address2991 HIGHWAY KO Fallon, MO 63368-7862
Mailing Address2991 Highway KO Fallon, MO 63368-7862 · (636) 435-2333 · Fax (314) 626-8009
Phone(636) 435-2333
Fax(314) 626-8009
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 9, 2021
Last NPPES UpdateDecember 13, 20223 updates tracked since enumeration
NPPES CertifiedDecember 13, 2022
✔ NPI 1073279568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2022015784
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License 149260 (MO)
2991 HIGHWAY K, O Fallon, MO 63368
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 Medical PlzLake St Louis, MO 63367-1366 · Phone (636) 625-5300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

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

Kelli Elizabeth Buntaine Fnp-c 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 ID9537538483
PECOS Enrollment IDI20221215000995
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
44 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
39 services37 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
26 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
15 services15 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
14 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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 3

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

RENEE ZESCH FNP
Nurse Practitioner (Family)
2991 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 435-2333
DR. JASON MICHAEL SCHLAUTMAN M.D.
Emergency Medicine
2991 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 435-2333
LAUREN KATHERINE GAHIMER NURSE PRACTITIONER
Nurse Practitioner (Family)
2991 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 435-2333

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelli Buntaine's NPI number?

The NPI number for Kelli Buntaine is 1073279568. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Kelli Buntaine located?

Kelli Buntaine practices at 2991 Highway K, O Fallon, MO 63368. The listed phone number is (636) 435-2333.

What is Kelli Buntaine's specialty?

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

Is Kelli Buntaine enrolled in Medicare?

Yes. Kelli Buntaine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelli Buntaine accept?

Health plans from Medica list Kelli Buntaine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelli Buntaine affiliated with any hospitals?

According to CMS data, Kelli Buntaine is affiliated with Ssm St Joseph Health Center.

When was this NPI record last updated?

The NPPES record for Kelli Buntaine was last updated on December 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.