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KIMBERLY BONVILLAIN FNP-C
NPI 1649561788
Nurse Practitioner in O Fallon, MO

Active since April 24, 2011PECOS Enrolled
20 PROGRESS POINT PKWY STE 108, O FALLON, MO 63368(636) 344-2400(636) 344-2401 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Kimberly Bonvillain Fnp-c NPPES

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

KIMBERLY BONVILLAIN FNP-C (NPI 1649561788) is an individual nurse practitioner in O Fallon, Missouri, licensed in Missouri (2026019751) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1649561788
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKIMBERLY BONVILLAINCredential: FNP-C
Location Address20 PROGRESS POINT PKWY STE 108O Fallon, MO 63368-2207
Mailing AddressPo Box 959354Saint Louis, MO 63195-9354 · (636) 344-2400 · Fax (636) 344-2401
Phone(636) 344-2400
Fax(636) 344-2401
Sole ProprietorNo
Enumeration DateApril 24, 2011
Last NPPES UpdateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1649561788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in MO · 2026019751✔ Licensed in OH · APRN.CNP.0035357
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4008581 (KY), 35357 (OH)
20 PROGRESS POINT PKWY STE 108, O Fallon, MO 63368
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Secondary Practice Location 1

Location 13333 Burnet AveCincinnati, OH 45229-3026 · Phone (513) 636-4225

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Bonvillain Fnp-c 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 Reassignments

5

Medicare enrollment records show Kimberly Bonvillain reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Groups Lc
13 mi
Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 611 clinicians in this Medicare group
NPI 1285664268 (314) 996-7644
Bluegrass Urgent Care LLC
328 mi
Urgent Care
625 CHESTNUT DR, SUITE 106
Walton, KY 41094
  • Reassigned Medicare billing, Kentucky enrollment
  • 10 clinicians in this Medicare group
NPI 1104106954 (859) 485-7900
Buc Independence LLC
332 mi
Urgent Care
2025 DECLARATION DR
Independence, KY 41051
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1417330150 (859) 371-7900
Children's Hospital Medical Center
335 mi
Pediatrics
3333 BURNET AVENUE
Cincinnati, OH 45229
  • Reassigned Medicare billing, Ohio enrollment
  • 2,080 clinicians in this Medicare group
NPI 1609915784 (513) 636-4225
Buc Newport LLC
336 mi
Urgent Care
85 CAROTHERS RD
Newport, KY 41071
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1679982250 (859) 431-7900

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 63368 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 12

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

SAMANTHA DAWN WARDEN MD
Family Medicine
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
BRIAN A GRUS MD
Internal Medicine
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
GLORIA MICHELLE PAUL EDACHERIL NP
Nurse Practitioner (Family)
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
MRS. LAURA L HILL ANP
Nurse Practitioner (Adult Health)
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
DR. EMILY REBECCA HUTCHINSON DO
Family Medicine
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
KRISTA E JENKINS PA
Physician Assistant
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 577-1493
DANIEL MARTIN WEISEL MD
Family Medicine
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400
AARON ROBERT STEIMEL DO
Internal Medicine
20 PROGRESS POINT PKWY STE 108
O FALLON, MO 63368
St. Charles County (636) 344-2400

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 Bonvillain's NPI number?

The NPI number for Kimberly Bonvillain is 1649561788. It was assigned to this individual provider in the NPPES registry on April 24, 2011.

Where is Kimberly Bonvillain located?

Kimberly Bonvillain practices at 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368. The listed phone number is (636) 344-2400.

What is Kimberly Bonvillain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kimberly Bonvillain enrolled in Medicare?

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

Which organizations bill Medicare for Kimberly Bonvillain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Bonvillain reassigns Medicare benefits to 5 organizations: Physician Groups Lc (Saint Louis, MO), Bluegrass Urgent Care LLC (Walton, KY), Buc Independence LLC (Independence, KY), Children's Hospital Medical Center (Cincinnati, OH) and Buc Newport LLC (Newport, KY). Each 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 Bonvillain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Bonvillain accept?

Health plans from UnitedHealthcare list Kimberly Bonvillain 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 Bonvillain was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.