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KELLY K RANEY RN, FNP, CS
NPI 1801963715
Nurse Practitioner in Saint Louis, MO

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment
12639 OLD TESSON RD, SAINT LOUIS, MO 63128(314) 849-0311(314) 849-4423 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly K Raney Rn, Fnp, Cs NPPES

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

KELLY K RANEY RN, FNP, CS (NPI 1801963715) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (099454) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1801963715
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLY K RANEYCredential: RN, FNP, CS
Location Address12639 OLD TESSON RDSaint Louis, MO 63128-2786
Mailing Address1165 N Butterfield RdBolivar, MO 65613-1056 · (417) 777-8131 · Fax (417) 777-8892
Phone(314) 849-0311
Fax(314) 849-4423
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateNovember 29, 2006
Last NPPES UpdateOctober 25, 2011
✔ NPI 1801963715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 099454
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.
12639 OLD TESSON RD, Saint Louis, MO 63128
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Other Identifiers 2

Medicaid427759113MO
Medicare PIN836093424MO

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 and accepts Medicare assignment

Kelly K Raney Rn, Fnp, Cs 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.

PECOS PAC ID9931294097
PECOS Enrollment IDI20071004000100
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63128 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 20

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

MRS. LOUISE M HILDEBOLT PA-C
Physician Assistant
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
NATHANAEL OLSON
Orthopaedic Surgery (Hand Surgery)
12639 OLD TESSON RD
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
BRIAN ANTHONY FISSEL M.D.
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
MRS. THERESA A BOXDORFER FNP
Nurse Practitioner (Family)
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
DR. DENNIS A DUSEK M.D.
Orthopaedic Surgery
12639 OLD TESSON RD, SUITE 115
SAINT LOUIS, MO 63128
St. Louis County (314) 849-0311
OLD TESSON SURGERY CENTER, L.P.
Clinic/Center (Ambulatory Surgical)
12639 OLD TESSON RD, STE 130
SAINT LOUIS, MO 63128
St. Louis County (314) 729-0785
MEDICAL IMPLANT SLOUTIONS, LLC
Durable Medical Equipment & Medical Supplies
12639 OLD TESSON RD, 116
SAINT LOUIS, MO 63128
St. Louis County (303) 840-2388
MRS. MOLLY KAY CRAWFORD OT
Occupational Therapist
12639 OLD TESSON RD, SUITE 120
SAINT LOUIS, MO 63128
St. Louis County (314) 842-3968

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 Kelly Raney's NPI number?

The NPI number for Kelly Raney is 1801963715. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Kelly Raney located?

Kelly Raney practices at 12639 Old Tesson Rd, Saint Louis, MO 63128. The listed phone number is (314) 849-0311.

What is Kelly Raney's specialty?

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

Is Kelly Raney enrolled in Medicare?

Yes. Kelly Raney 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.

What insurance does Kelly Raney 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 4 other insurers list Kelly Raney 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 Kelly Raney affiliated with any hospitals?

According to CMS data, Kelly Raney is affiliated with Citizens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Raney was last updated on October 25, 2011. 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.