KIMBERLY WAHL FNP-BC
NPI 1194295063
Nurse Practitioner - Family in Chesterfield, MO
About Kimberly Wahl Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY WAHL FNP-BC (NPI 1194295063) is an individual family provider in Chesterfield, Missouri, licensed in Missouri (2018032558) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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 Wahl Fnp-bc 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 Reassignments
2Medicare enrollment records show Kimberly Wahl reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chesterfield, MO 63017
- Reassigned Medicare billing, Missouri enrollment
- 263 clinicians in this Medicare group
Cuba, MO 65453
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1245277631 (Missouri)
- 1,487 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital St Louis
Acute Care Hospitals · Saint Louis, MOMercy Hospital South
Acute Care Hospitals · Saint Louis, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63017 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
CHESTERFIELD, MO 63017
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 Wahl's NPI number?
The NPI number for Kimberly Wahl is 1194295063. It was assigned to this individual provider in the NPPES registry on December 4, 2018.
Where is Kimberly Wahl located?
Kimberly Wahl practices at 15740 S Outer 40 Rd, Chesterfield, MO 63017. The listed phone number is (636) 237-4200.
What is Kimberly Wahl's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Wahl enrolled in Medicare?
Yes. Kimberly Wahl 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 organizations bill Medicare for Kimberly Wahl's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Wahl reassigns Medicare benefits to 2 organizations: Mercy Aco Clinical Services Inc (Chesterfield, MO) and Mercy Clinic Springfield Communities (Cuba, 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 Kimberly Wahl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Wahl accept?
Health plans from Health Advantage and Octave list Kimberly Wahl 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 Wahl affiliated with any hospitals?
According to CMS data, Kimberly Wahl is affiliated with Mercy Hospital St Louis and Mercy Hospital South.
When was this NPI record last updated?
The NPPES record for Kimberly Wahl was last updated on December 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 Wahl, FNP-BC · NPI 1194295063
Family physician in Chesterfield, Missouri. Individual provider, active in the CMS NPPES registry since December 4, 2018.
## Identity
- **NPI:** 1194295063 (Entity type: Individual)
- **Enumerated:** December 4, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2018032558 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 15740 S OUTER 40 RD, Chesterfield, MO 63017-2004
- **Phone:** (636) 237-4200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mercy Aco Clinical Services Inc (NPI 1063965093, Chesterfield, MO); Mercy Clinic Springfield Communities (NPI 1063541704, Cuba, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 4, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1194295063) · Data from the CMS NPPES public registry.