MS. KIMBERLY JANEAN KING (FNP) – Nurse Practitioner, NPI 1508306952

MS. KIMBERLY JANEAN KING (FNP) is a healthcare provider. based in Saint louis, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2016044352 (MO). The NPI Number for MS. KIMBERLY JANEAN KING (FNP) is 1508306952

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. KIMBERLY JANEAN KING (FNP)
NPI
1508306952
Phone
(314) 362-9123
Address
11133 DUNN RD
Enumeration Date
5 March 2017
Last Update Date
14 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182575644
Graduation Year
2007 (19 years ago)
PAC ID
9830464551
Group Practice PAC ID
2769746056
Professional Enrollment ID
I20180621000212
Address ID
IL622265360BE4500XDRXX300

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness95
Years active:9State licenses:1Other names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MS. KIMBERLY JANEAN KING (FNP)

  • 11133 DUNN RD

    DEPT EMERGENCY MED

    SAINT LOUIS, MO 631366163

    Phone: (314) 362-9123

    Fax: (314) 747-9160

    Type: Location

  • 610, Ash Street, Greenville, Bond County, Illinois, 62246, United States

    GREENVILLE, IL 622461370

    Phone: (618) 530-3463

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-9123

    Fax: (314) 747-9160

    Type: Mailing

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 $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-05-06 • Largest payer in this snapshot: ABBVIE INC. ($46).

Total Amount

$46

General + Research + Ownership

Payments

1

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$46
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: 2018-06-21

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
I20171005003201INurse PractitionerMOTBD
I20180621000212INurse PractitionerILTBD

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
99284Emergency department visit with moderate level of medical decision making8177$0
99283Emergency department visit with low level of medical decision making2222$0
99285Emergency department visit with high level of medical decision making1414$0
View full utilization report →

Insurance plans in this area (ZIP 63136)

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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: 2769746056View full group profile
NameSpecialtyState
Emergency MedicineMO
Emergency MedicineMO
Nurse PractitionerIL
Nurse PractitionerMO
Internal Medicine, Emergency Medicine, Pediatric MedicineTX
Emergency MedicineIL
Emergency MedicineIL
Emergency Medicine, Internal MedicineMO
Emergency MedicineCT
Emergency MedicineIL

Reviews

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Frequently asked questions

Does MS. KIMBERLY JANEAN KING (FNP) have a public NPI I can cite?
Public records show MS. KIMBERLY JANEAN KING (FNP) under NPI 1508306952.
Is MS. KIMBERLY JANEAN KING (FNP) currently accepting referrals based on NPI status?
Registry metadata lists MS. KIMBERLY JANEAN KING (FNP) as active.
Which specialty label fits MS. KIMBERLY JANEAN KING (FNP)?
NPPES ties MS. KIMBERLY JANEAN KING (FNP) to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MS. KIMBERLY JANEAN KING (FNP) tied to Saint Louis, Missouri?
If you are local to Saint Louis, Missouri, MS. KIMBERLY JANEAN KING (FNP) may be relevant to your search.
Why is information missing for MS. KIMBERLY JANEAN KING (FNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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