SARA RENEE KOOTMAN (MSN, FNP-C) – Family Nurse Practitioner, NPI 1710686894
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for SARA RENEE KOOTMAN (MSN, FNP-C)
927 MOREHOUSE LN
UNIVERSITY CITY, MO 631302157
Phone: (314) 341-2443
Type: Mailing
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO 631418270
Phone: (314) 251-8892
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 133 Open Payments records for all available years, with a total value of $2,897.
Total Amount is formed as General ($2,897) + Research ($0) + Ownership ($0) = $2,897.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: ABBVIE INC. ($1,576).
Total Amount
$2,897
General + Research + Ownership
Payments
133
Total payment records
General Amount
$2,897
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,576 |
| Lilly USA, LLC | $220 |
| JAZZ PHARMACEUTICALS INC. | $142 |
| Alexion Pharmaceuticals, Inc. | $108 |
| Neurelis, Inc. | $92 |
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: 2023-07-10
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20230710000261 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| N E U R O L O G Y | MO | |
| Nurse Practitioner | MO | |
| Psychiatry, Neurology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| N E U R O L O G Y | IL | |
| Nurse Practitioner | MO | |
| - | MO | |
| N E U R O L O G Y | MO |
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