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CHERIE LANHAM KIMBROUGH CPNP
NPI 1437415551
Nurse Practitioner - Pediatrics in Lake Saint Louis, MO

Active since April 03, 2012PECOS Enrolled
100 MEDICAL PLAZA DR, EMERGENCY DEPARTMENT, LAKE SAINT LOUIS, MO 63367(636) 625-5300(636) 625-5376 Get Directions Write a Review

NPPES record last updated: October 20, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 20, 2021, Oct 30, 2020 (2 updates tracked since 2020).

About Cherie Lanham Kimbrough Cpnp NPPES

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

CHERIE LANHAM KIMBROUGH CPNP (NPI 1437415551) is an individual pediatrics provider in Lake Saint Louis, Missouri, licensed in Missouri (2012008398) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1437415551
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCHERIE LANHAM KIMBROUGHCredential: CPNP
Location Address100 MEDICAL PLAZA DR, EMERGENCY DEPARTMENTLake Saint Louis, MO 63367
Mailing Address100 Medical Plaza Dr, Emergency DepartmentLake Saint Louis, MO 63367 · (636) 625-5300 · Fax (636) 625-5376
Phone(636) 625-5300
Fax(636) 625-5376
Sole ProprietorNo
Enumeration DateApril 3, 2012
Last NPPES UpdateOctober 20, 20212 updates tracked since enumeration
NPPES CertifiedOctober 20, 2021
✔ NPI 1437415551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MO · 2012008398
100 MEDICAL PLAZA DR, Lake Saint Louis, MO 63367
Open in Google Maps ↗

Secondary Practice Location 1

Location 13737 N Kingshighway Blvd, Suite 209-210Saint Louis, MO 63115-1736 · Phone (314) 261-5250 · Fax (314) 261-4567

Other Identifiers 1

Medicaid507602605MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cherie Lanham Kimbrough Cpnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Cherie Kimbrough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ssm Health Care St. Louis
0.1 mi
Emergency Medical Services
100 MEDICAL PLZ
Lake St Louis, MO 63367
  • Reassigned Medicare billing, Missouri enrollment
  • 741 clinicians in this Medicare group
NPI 1538113097 (636) 625-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63367 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.

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 Cherie Kimbrough's NPI number?

The NPI number for Cherie Kimbrough is 1437415551. It was assigned to this individual provider in the NPPES registry on April 3, 2012.

Where is Cherie Kimbrough located?

Cherie Kimbrough practices at 100 Medical Plaza Dr Emergency Department, Lake Saint Louis, MO 63367. The listed phone number is (636) 625-5300.

What is Cherie Kimbrough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Cherie Kimbrough enrolled in Medicare?

Yes. Cherie Kimbrough is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Cherie Kimbrough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cherie Kimbrough reassigns Medicare benefits to Ssm Health Care St. Louis (Lake St Louis, 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 Cherie Kimbrough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cherie Kimbrough accept?

Health plans from Anthem Blue Cross and Blue Shield list Cherie Kimbrough 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 Cherie Kimbrough was last updated on October 20, 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.