KIMBERLY E DIONYSUS PSYD
NPI 1164709747
Clinical Neuropsychologist in Springfield, MO
About Kimberly E Dionysus Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY E DIONYSUS PSYD (NPI 1164709747) is an individual clinical neuropsychologist in Springfield, Missouri, licensed in Missouri (2011037843) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Springfield, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly E Dionysus Psyd 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Dionysus reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- 1,565 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital Springfield
Acute Care Hospitals · Springfield, MOOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MO 65804
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 Kimberly Dionysus's NPI number?
The NPI number for Kimberly Dionysus is 1164709747. It was assigned to this individual provider in the NPPES registry on November 9, 2011. The provider is also known as Kimberly E. Diounysus.
Where is Kimberly Dionysus located?
Kimberly Dionysus practices at 2030 S National Ave Ste 105, Springfield, MO 65804. The listed phone number is (417) 820-9590.
What is Kimberly Dionysus's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Kimberly Dionysus enrolled in Medicare?
Yes. Kimberly Dionysus 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.
Which organization bills Medicare for Kimberly Dionysus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Dionysus reassigns Medicare benefits to Mercy Clinic Springfield Communities (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Dionysus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Dionysus accept?
Health plans from Medica list Kimberly Dionysus 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 Kimberly Dionysus affiliated with any hospitals?
According to CMS data, Kimberly Dionysus is affiliated with Mercy Hospital Springfield.
When was this NPI record last updated?
The NPPES record for Kimberly Dionysus was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kimberly E Dionysus, PSYD · NPI 1164709747
Clinical Neuropsychologist provider in Springfield, Missouri. Individual provider, active in the CMS NPPES registry since November 9, 2011.
## Identity
- **NPI:** 1164709747 (Entity type: Individual)
- **Enumerated:** November 9, 2011
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 2011037843 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 2030 S NATIONAL AVE STE 105, Springfield, MO 65804-2238
- **Phone:** (417) 820-9590
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mercy Clinic Springfield Communities (NPI 1245277631, Springfield, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 9, 2020
- **Other identifiers:** Medicaid 1164709747 (MP); Medicaid 200437390A (OK); Medicaid 200750120A (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1164709747) · Data from the CMS NPPES public registry.