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MRS. KIMBERLY MARIE WICKLINE AGNP
NPI 1376200733
Nurse Practitioner - Adult Health in Ballwin, MO

Active since November 19, 2021PECOS Enrolled
15945 CLAYTON RD STE 340, BALLWIN, MO 63011(636) 256-5130 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 8, 2022, Nov 19, 2021 (2 updates tracked since 2021).

About Mrs. Kimberly Marie Wickline Agnp NPPES

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

MRS. KIMBERLY MARIE WICKLINE AGNP (NPI 1376200733) is an individual adult health provider in Ballwin, Missouri, licensed in Missouri (2021043381) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376200733
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KIMBERLY MARIE WICKLINECredential: AGNP
Location Address15945 CLAYTON RD STE 340Ballwin, MO 63011-2492
Mailing Address15945 Clayton Rd Ste 340Ballwin, MO 63011-2492 · (636) 256-5130
Phone(636) 256-5130
Sole ProprietorYes
Enumeration DateNovember 19, 2021
Last NPPES UpdateFebruary 8, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2022
✔ NPI 1376200733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MO · 2021043381
15945 CLAYTON RD STE 340, Ballwin, MO 63011
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kimberly Marie Wickline Agnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA LISA HOF
Nurse Practitioner (Family)
15945 CLAYTON RD STE 340
BALLWIN, MO 63011
St. Louis County (636) 256-5130

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 Wickline's NPI number?

The NPI number for Kimberly Wickline is 1376200733. It was assigned to this individual provider in the NPPES registry on November 19, 2021.

Where is Kimberly Wickline located?

Kimberly Wickline practices at 15945 Clayton Rd Ste 340, Ballwin, MO 63011. The listed phone number is (636) 256-5130.

What is Kimberly Wickline's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kimberly Wickline enrolled in Medicare?

Yes. Kimberly Wickline is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Wickline accept?

Health plans from Medica and UnitedHealthcare list Kimberly Wickline 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 Wickline was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.