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MRS. KIMBERLY BURGESS AGNP-C
NPI 1164956066
Nurse Practitioner in O Fallon, IL

Active since April 18, 2017
28.18/100
CMS Quality Rating
670 PIERCE BLVD, O FALLON, IL 62269(618) 206-2094 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2021, Jan 19, 2019, Jul 28, 2017 and 1 more (4 updates tracked since 2017).

About Mrs. Kimberly Burgess Agnp-c NPPES

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

MRS. KIMBERLY BURGESS AGNP-C (NPI 1164956066) is an individual nurse practitioner in O Fallon, Illinois, licensed in Illinois (209015757) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1164956066
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KIMBERLY BURGESSCredential: AGNP-C
Location Address670 PIERCE BLVDO Fallon, IL 62269-2579
Mailing Address670 Pierce BlvdO Fallon, IL 62269-2579 · (618) 206-2094
Phone(618) 206-2094
Sole ProprietorNo
Enumeration DateApril 18, 2017
Last NPPES UpdateDecember 29, 20214 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
✔ NPI 1164956066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209015757
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
670 PIERCE BLVD, O Fallon, IL 62269
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Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

28.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality14.92
Promoting Interoperability0
Improvement Activities20
Cost54.01

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.

MRS. AMY MARIE BUCK APN
Nurse Practitioner (Family)
670 PIERCE BLVD
O FALLON, IL 62269
St. Clair County (618) 206-2070
MICHAEL J HOHM PA-C
Physician Assistant
670 PIERCE BLVD
O FALLON, IL 62269
St. Clair County (618) 206-2094
MRS. RICKI LOAR APN
Nurse Practitioner (Family)
670 PIERCE BLVD
O FALLON, IL 62269
St. Clair County (618) 206-2094
ANDRES LERNER MD
Orthopaedic Surgery (Hand Surgery)
670 PIERCE BLVD
O FALLON, IL 62269
St. Clair County (618) 206-2094
KODY ALAN HINDMAN
Physician Assistant
670 PIERCE BLVD
O FALLON, IL 62269
St. Clair County (618) 206-2094
DR. RICHARD DERBY MD
Family Medicine (Sports Medicine)
670 PIERCE BLVD
O FALLON, IL 62269
St. Clair County (618) 206-2094
SHAELIN HEIMAN PA-C
Physician Assistant
670 PIERCE BLVD
O FALLON, IL 62269
St. Clair County (618) 206-2094
KEVIN JAMES MCCARTHY M.D.
Orthopaedic Surgery
670 PIERCE BLVD
O FALLON, IL 62269
St. Clair County (618) 206-2094

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 Burgess's NPI number?

The NPI number for Kimberly Burgess is 1164956066. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Kimberly Burgess located?

Kimberly Burgess practices at 670 Pierce Blvd, O Fallon, IL 62269. The listed phone number is (618) 206-2094.

What is Kimberly Burgess's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Burgess was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.