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KELLI BROCKMAN
NPI 1477818599
Pediatrics in Bloomsdale, MO

Active since July 05, 2012PECOS Enrolled
255 BODERMAN, BLOOMSDALE, MO 63627(573) 483-9492 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 11, 2022, Feb 29, 2016 (2 updates tracked since 2016).

About Kelli Brockman NPPES

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

KELLI BROCKMAN (NPI 1477818599) is an individual pediatrics provider in Bloomsdale, Missouri, licensed in Missouri (2015011883) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477818599
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELLI BROCKMAN
Location Address255 BODERMANBloomsdale, MO 63627-9099
Mailing Address255 BodermanBloomsdale, MO 63627-9099 · (573) 483-9492
Phone(573) 483-9492
Sole ProprietorYes
Enumeration DateJuly 5, 2012
Last NPPES UpdateApril 11, 20222 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1477818599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · 2015011883
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
255 BODERMAN, Bloomsdale, MO 63627
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Kelli Brockman 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 63627 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 13

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

REGINE POLITTE FNP-BC
Nurse Practitioner (Family)
255 BODERMAN
BLOOMSDALE, MO 63627
Ste. Genevieve County (573) 483-9492
MRS. JACQUELINE M WOLK FNP
Nurse Practitioner (Family)
255 BODERMAN
BLOOMSDALE, MO 63627
Ste. Genevieve County (573) 483-2929
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
255 BODERMAN
BLOOMSDALE, MO 63627
Ste. Genevieve County (573) 483-9492
MRS. MORGAN LEIGH RITTER
Nurse Practitioner (Family)
255 BODERMAN
BLOOMSDALE, MO 63627
Ste. Genevieve County (573) 483-2929
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Surgery
255 BODERMAN, SUITE 1B
BLOOMSDALE, MO 63627
Ste. Genevieve County (573) 883-4473
JONATHON M BIRD MD
Family Medicine
255 BODERMAN
BLOOMSDALE, MO 63627
Ste. Genevieve County (573) 483-9492
JILL MCCALISTER PHARM.D.
Pharmacist
255 BODERMAN
BLOOMSDALE, MO 63627
Ste. Genevieve County (573) 883-7760
STE GENEVIEVE COUNTY MEMORIAL HOSPITAL
Pharmacy (Community/Retail Pharmacy)
255 BODERMAN, SUITE 1E
BLOOMSDALE, MO 63627
Ste. Genevieve County (573) 483-2626

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 Kelli Brockman's NPI number?

The NPI number for Kelli Brockman is 1477818599. It was assigned to this individual provider in the NPPES registry on July 5, 2012.

Where is Kelli Brockman located?

Kelli Brockman practices at 255 Boderman, Bloomsdale, MO 63627. The listed phone number is (573) 483-9492.

What is Kelli Brockman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelli Brockman enrolled in Medicare?

Yes. Kelli Brockman is registered in the Medicare PECOS enrollment system.

What insurance does Kelli Brockman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Kelli Brockman 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 Kelli Brockman was last updated on April 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.