KEARA COBBS (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083462451

KEARA COBBS (PMHNP) is a healthcare provider. based in Florissant, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 2024002806 (MO). The NPI Number for KEARA COBBS (PMHNP) is 1083462451

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KEARA COBBS (PMHNP)
NPI
1083462451
Phone
(314) 699-5945
Address
15608 94TH AVE
Enumeration Date
9 May 2024
Last Update Date
30 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884105230
Graduation Year
2023 (3 years ago)
PAC ID
8729526249
Group Practice PAC ID
2961787809
Professional Enrollment ID
I20240815001698
Address ID
MO652016583CO3600XSEXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for KEARA COBBS (PMHNP)

  • 15608 94TH AVE

    FLORISSANT, MO 630342138

    Phone: (314) 699-5945

    Type: Mailing

  • 12401 OLIVE BLVD STE 206

    CREVE COEUR, MO 631415448

    Phone: (888) 410-5230

    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: 2024-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240815001698INurse PractitionerMOTBD
I20241015002331INurse PractitionerKSTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63034)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961787809View full group profile
NameSpecialtyState
Nurse PractitionerMO
P S Y C H I A T R YTX
Nurse PractitionerMO
Nurse PractitionerKS
Nurse PractitionerMO

Reviews

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Frequently asked questions

What federal number belongs to KEARA COBBS (PMHNP)?
The federal identifier for KEARA COBBS (PMHNP) is NPI 1083462451.
Is KEARA COBBS (PMHNP) active in the national directory?
KEARA COBBS (PMHNP)'s public NPI profile is in an active state.
What kind of provider is KEARA COBBS (PMHNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for KEARA COBBS (PMHNP). Clinical services aligned with this taxonomy classification.
Does KEARA COBBS (PMHNP) practice in Missouri?
You will see Florissant, Missouri on file for KEARA COBBS (PMHNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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