KELLI ELIZABETH BUNTAINE (FNP-C) – Family Nurse Practitioner, NPI 1073279568
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for KELLI ELIZABETH BUNTAINE (FNP-C)
100 Medical Plz
Lake St Louis, MO 633671366
Phone: (636) 625-5300
Type: Location
2991 HIGHWAY K
O FALLON, MO 633687862
Phone: (636) 435-2333
Fax: (314) 626-8009
Type: Location
320 GLEN VALLEY CT
TROY, MO 633793480
Phone: (636) 383-5034
Type: Mailing
100 MEDICAL PLZ
LAKE ST LOUIS, MO 633671366
Phone: (636) 625-5300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-15
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221215000995 | I | Nurse Practitioner | MO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 55 | 52 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 27 | 27 | $0 |
| 81003 | Automated urinalysis test | 15 | 14 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63367)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MO | |
| P S Y C H I A T R Y | VA | |
| - | MO | |
| Nurse Practitioner | MO | |
| A N E S T H E S I O L O G Y | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | KS |
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