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

Q: 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.

Q: What is Kaci Hale's specialty?

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

Q: 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 5 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.

Active since September 15, 2017PECOS EnrolledAccepts Medicare Assignment

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: August 02, 2026.

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

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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, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2017).

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

Medical School CMSOtherGraduated 2017

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kaci Briann Hale 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 ID2163782483

PECOS Enrollment IDI20180207000397

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.

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.

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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