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MS. KACI BRIANN HALE FNP
NPI 1174042659
Nurse Practitioner in Fenton, MO

Active since September 15, 2017PECOS Enrolled
1001 BOWLES AVE, FENTON, MO 63026(314) 996-8670(314) 747-2417 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 22, 2020, Sep 5, 2019, Dec 14, 2017 and 1 more (4 updates tracked since 2017).

About Ms. Kaci Briann Hale Fnp NPPES

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

MS. KACI BRIANN HALE FNP (NPI 1174042659) is an individual nurse practitioner in Fenton, Missouri, licensed in Missouri (2014034687) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1174042659
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KACI BRIANN HALECredential: FNP
Location Address1001 BOWLES AVEFenton, MO 63026
Mailing AddressPo Box 955534Saint Louis, MO 63195-5534
Phone(314) 996-8670
Fax(314) 747-2417
Sole ProprietorNo
Enumeration DateSeptember 15, 2017
Last NPPES UpdateOctober 22, 20204 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
✔ NPI 1174042659 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 MO · 2014034687
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.
1001 BOWLES AVE, Fenton, MO 63026
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Secondary Practice Location 1

Location 14921 Parkview Pl Ste 8B, Ste 8BSaint Louis, MO 63110-1032 · Phone (314) 996-8670 · Fax (314) 747-2417

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kaci Briann Hale Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kaci Hale reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University
14 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 1,133 clinicians in this Medicare group
NPI 1992746903 (314) 747-5192
Our Urgent Care, LLC
29 mi
Urgent Care
1111 W PEARCE BLVD
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 46 clinicians in this Medicare group
NPI 1902815863 (252) 813-9104

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 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.

MARK FROIDL
Pharmacist
1001 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 343-0754
CATHERINE BUNDSCHUH
Pharmacist
1001 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 343-0754
JENNIFER WILLIAMS PHARM.D.
Pharmacist
1001 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 343-0754
AMIRA RAJIH
Pharmacist
1001 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 343-0754
JAMAL NGAWASHON TOURE PHARMD
Pharmacist
1001 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 343-0754
MR. TIMOTHY W LAKEBRINK RPH
Pharmacist
1001 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 343-0754
MICHELLE L YEPEZ RPH
Pharmacist
1001 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 343-0754
SANA ALMAAITA RPH
Pharmacist
1001 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 343-0754

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 Kaci Hale's NPI number?

The NPI number for Kaci Hale is 1174042659. It was assigned to this individual provider in the NPPES registry on September 15, 2017.

Where is Kaci Hale located?

Kaci Hale practices at 1001 Bowles Ave, Fenton, MO 63026. The listed phone number is (314) 996-8670.

What is Kaci Hale's specialty?

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

Is Kaci Hale enrolled in Medicare?

Yes. Kaci Hale is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kaci Hale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaci Hale reassigns Medicare benefits to 2 organizations: Washington University (Saint Louis, MO) and Our Urgent Care, LLC (Wentzville, MO). Each 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 Kaci Hale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaci Hale was last updated on October 22, 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.