MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1205094463

MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 300614 (AZ). The NPI Number for MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER) is 1205094463

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER)
NPI
1205094463
Phone
(314) 362-3210
Address
1 BARNES JEWISH HOSPITAL PLZ
Enumeration Date
23 May 2008
Last Update Date
5 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006403451
Graduation Year
2003 (23 years ago)
PAC ID
7810172558
Group Practice PAC ID
2062733546
Professional Enrollment ID
I20240115000799
Address ID
AZ852546002SC4921XRDXX405

Contacts

Main Contact
Albuquerque
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER)

  • 1 BARNES JEWISH HOSPITAL PLZ

    MAILSTOP 90-59-360

    SAINT LOUIS, MO 631101003

    Phone: (314) 362-3210

    Type: Location

  • 16609, Clayton Road, Wildwood, Saint Louis County, Missouri, 63011, United States

    WILDWOOD, MO 630111701

    Phone: (636) 458-2386

    Type: Mailing

  • PO BOX 1200

    PLEASANT GROVE, UT 840621200

    Phone: (800) 640-3451

    Type: Mailing

  • 1004 STAGECOACH RD SE

    ALBUQUERQUE, NM 871234317

    Phone: (505) 359-1927

    Type: Mailing

  • 10501 GOLF COURSE RD NW

    ALBUQUERQUE, NM 871145019

    Phone: (505) 359-1927

    Type: Location

  • 4921 E BELL RD STE 205

    SCOTTSDALE, AZ 852546002

    Phone: (800) 640-3451

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-08-08 • Largest payer in this snapshot: Advanced Oxygen Therapy Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20160420000274INurse PractitionerNMTBD
I20240115000799INurse PractitionerAZTBD
I20251022002576INurse PractitionerORTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3729$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2916$0
99214Established patient office or other outpatient visit, 30-39 minutes2814$0
99215Established patient office or other outpatient visit, 40-54 minutes2714$0
11042Removal of skin and tissue, 20.0 sq cm or less1612$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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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: 2062733546View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerTX
Nurse PractitionerFL
Nurse PractitionerLA
Nurse PractitionerUT
Nurse PractitionerTX
Nurse PractitionerFL
Nurse PractitionerNV
Nurse PractitionerUT

Reviews

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Frequently asked questions

What is MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER)'s NPI number?
MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER)'s NPI is 1205094463 — the number used across U.S. healthcare to identify this provider.
Would MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER) appear as active to a payer?
You can treat MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER)?
At a glance, MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER) located near Saint Louis?
MRS. KIMBERLY LYNN CANTU (NURSE PRACTITIONER) currently maps to Saint Louis, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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