KIMBERLY DAWN AUTRY AGNP-C
NPI 1265009369
Nurse Practitioner - Adult Health in Saint Louis, MO
About Kimberly Dawn Autry Agnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY DAWN AUTRY AGNP-C (NPI 1265009369) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (AG05210083) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Kimberly Dawn Autry Agnp-c 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.
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 63139 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 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63139
SAINT LOUIS, MO 63139
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 Autry's NPI number?
The NPI number for Kimberly Autry is 1265009369. It was assigned to this individual provider in the NPPES registry on June 7, 2021.
Where is Kimberly Autry located?
Kimberly Autry practices at 6406 Wise Ave, Saint Louis, MO 63139. The listed phone number is (314) 636-4891.
What is Kimberly Autry's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kimberly Autry enrolled in Medicare?
Yes. Kimberly Autry 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.
When was this NPI record last updated?
The NPPES record for Kimberly Autry was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 Dawn Autry, AGNP-C · NPI 1265009369
Adult Health physician in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since June 7, 2021.
## Identity
- **NPI:** 1265009369 (Entity type: Individual)
- **Enumerated:** June 7, 2021
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** AG05210083 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 6406 WISE AVE, Saint Louis, MO 63139-3315
- **Phone:** (314) 636-4891
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265009369) · Data from the CMS NPPES public registry.