KIMBERLY A BERTHOLD RN, BC, FNP
NPI 1780825570
Nurse Practitioner - Family in Lees Summit, MO
About Kimberly A Berthold Rn, Bc, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY A BERTHOLD RN, BC, FNP (NPI 1780825570) is an individual family provider in Lees Summit, Missouri, licensed in Missouri (2008001025) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly A Berthold Rn, Bc, Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Kimberly Berthold reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Blue Springs, MO 64014
- Reassigned Medicare billing, Kansas and Missouri enrollments
- Medicare enrollment name: Saint Lukes Physician Group Inc
- 845 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Hospital Of Kansas City
Acute Care Hospitals · Kansas City, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64086 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEES SUMMIT, MO 64086
LEES SUMMIT, MO 64086
LEES SUMMIT, MO 64086
LEES SUMMIT, MO 64086
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 Berthold's NPI number?
The NPI number for Kimberly Berthold is 1780825570. It was assigned to this individual provider in the NPPES registry on March 9, 2009. The provider is also known as Kimberly A. Gross Rn, Bc, Fnp.
Where is Kimberly Berthold located?
Kimberly Berthold practices at 20 NE Saint Lukes Blvd Suite 240, Lees Summit, MO 64086. The listed phone number is (816) 931-1883.
What is Kimberly Berthold's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kimberly Berthold enrolled in Medicare?
Yes. Kimberly Berthold 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.
Which organization bills Medicare for Kimberly Berthold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Berthold reassigns Medicare benefits to Saint Luke's Physician Group Inc (Blue Springs, 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 Kimberly Berthold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Berthold accept?
Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc. and Medica list Kimberly Berthold 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.
Is Kimberly Berthold affiliated with any hospitals?
According to CMS data, Kimberly Berthold is affiliated with St Lukes Hospital Of Kansas City.
When was this NPI record last updated?
The NPPES record for Kimberly Berthold was last updated on May 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 A Berthold, RN, BC, FNP · NPI 1780825570
Family physician in Lees Summit, Missouri. Individual provider, active in the CMS NPPES registry since March 9, 2009.
## Identity
- **NPI:** 1780825570 (Entity type: Individual)
- **Enumerated:** March 9, 2009
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 2008001025 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 NE SAINT LUKES BLVD, SUITE 240, Lees Summit, MO 64086-6001
- **Phone:** (816) 931-1883 · **Fax:** (816) 756-3645
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Saint Luke's Physician Group Inc (NPI 1376257220, Blue Springs, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** May 8, 2012
- **Other identifiers:** Medicaid 1780825570 (MO); Medicare PIN KA1724046 (KS); Other P00836071 (MO); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1780825570) · Data from the CMS NPPES public registry.