KIMBERLY DANIELLE FNP
NPI 1205393089
Nurse Practitioner - Psychiatric/Mental Health in Chesterfield, MO
About Kimberly Danielle Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY DANIELLE FNP (NPI 1205393089) is an individual psychiatric/mental health provider in Chesterfield, Missouri, licensed in Missouri (2020038848) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Danielle Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Danielle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Saint Peters, MO 63376
- Reassigned Medicare billing, Missouri enrollment
- 47 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
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.
Physician 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 3
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
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 Danielle's NPI number?
The NPI number for Kimberly Danielle is 1205393089. It was assigned to this individual provider in the NPPES registry on February 27, 2019.
Where is Kimberly Danielle located?
Kimberly Danielle practices at 15450 S Outer 40 Rd Ste 100, Chesterfield, MO 63017. The listed phone number is (636) 489-1540.
What is Kimberly Danielle's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kimberly Danielle enrolled in Medicare?
Yes. Kimberly Danielle is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kimberly Danielle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Danielle reassigns Medicare benefits to Serenity Health LLC (Saint Peters, 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 Danielle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Danielle accept?
Health plans from Anthem Blue Cross and Blue Shield, Medica, Oscar Insurance Company and UnitedHealthcare list Kimberly Danielle 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.
When was this NPI record last updated?
The NPPES record for Kimberly Danielle was last updated on January 15, 2021. 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.
# Kimberly Danielle, FNP · NPI 1205393089
Psychiatric/Mental Health physician in Chesterfield, Missouri. Individual provider, active in the CMS NPPES registry since February 27, 2019.
## Identity
- **NPI:** 1205393089 (Entity type: Individual)
- **Enumerated:** February 27, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2020038848 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 15450 S OUTER 40 RD STE 100, Chesterfield, MO 63017-2062
- **Phone:** (636) 489-1540
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Serenity Health LLC (NPI 1104569151, Saint Peters, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205393089) · Data from the CMS NPPES public registry.