TINA LOUISE KINNEY (FNP) – Family Nurse Practitioner, NPI 1548529050

TINA LOUISE KINNEY (FNP) is a healthcare provider. based in Fenton, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2013041627 (MO). The NPI Number for TINA LOUISE KINNEY (FNP) is 1548529050

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
TINA LOUISE KINNEY (FNP)
NPI
1548529050
Phone
(636) 326-6100
Address
714 GRAVOIS RD
Enumeration Date
4 May 2012
Last Update Date
26 January 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7043606500
Graduation Year
2013 (13 years ago)
PAC ID
5991961500
Group Practice PAC ID
0749345007
Professional Enrollment ID
I20230523003221
Address ID
NC281179626MO653XXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:14State licenses:3Digital endpointsOther names

7,065 NURSE PRACTITIONER in MO

Provider Addresses for TINA LOUISE KINNEY (FNP)

  • 714 GRAVOIS RD

    FENTON, MO 630267723

    Phone: (636) 326-6100

    Fax: (636) 326-6110

    Type: Mailing

  • 557 Brookdale Dr

    Statesville, NC 286774107

    Phone: (704) 873-5661

    Type: Location

  • 1540 E BROAD ST

    STATESVILLE, NC 286254302

    Phone: (704) 360-6500

    Type: Mailing

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: 2023-05-23

PECOS data refreshed: 2026-06-15

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
I20200428001259ICertified Registered Nurse Anesthetist (Crna)NCTBD
I20230523003221INurse PractitionerNCTBD

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
99203New patient office or other outpatient visit, 30-44 minutes5353$0
99213Established patient office or other outpatient visit, 20-29 minutes3332$0
81003Automated urinalysis test2020$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b1313$0
View full utilization report →

Insurance plans in this area (ZIP 63026)

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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: 0749345007View full group profile
NameSpecialtyState
-NC
Family PracticeSC
-NC
Pain Management, AnesthesiologyNC
Nurse PractitionerNC
Physician AssistantNC
Physician AssistantNC
-NC
Internal MedicineNC
Physician AssistantNC

Reviews

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Frequently asked questions

What unique ID ties claims to TINA LOUISE KINNEY (FNP)?
NPI 1548529050 is assigned to TINA LOUISE KINNEY (FNP) under the national enumeration system.
Is TINA LOUISE KINNEY (FNP)'s NPI currently valid?
The extract we use shows TINA LOUISE KINNEY (FNP) as active.
What kind of provider is TINA LOUISE KINNEY (FNP)?
The page reflects Family Nurse Practitioner for TINA LOUISE KINNEY (FNP). Clinical services aligned with this taxonomy classification.
Does TINA LOUISE KINNEY (FNP) practice in Missouri?
You will see Fenton, Missouri on file for TINA LOUISE KINNEY (FNP) 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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