KIMBERLY K. CORDES (AGNP-BC, CVNP-BC) – Family Nurse Practitioner, NPI 1750783346
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 KIMBERLY K. CORDES (AGNP-BC, CVNP-BC)
15740 S OUTER 40 RD
CHESTERFIELD, MO 630172004
Phone: (636) 237-4700
Type: Mailing
15740 S Outer 40 Rd
Chesterfield, MO 630172004
Phone: (636) 237-4700
Type: Location
6500 Hospital Dr
Hannibal, MO 634016890
Phone: (573) 629-3300
Fax: (573) 629-3314
Type: Location
PO BOX 1239
6500 HOSPITAL DRIVE
HANNIBAL, MO 634011239
Phone: (573) 629-3300
Fax: (573) 629-3314
Type: Mailing
6500 HOSPITAL DR
HANNIBAL, MO 634016890
Phone: (573) 629-3300
Fax: (573) 629-3314
Type: Location
211 S 3rd St
Louisiana, MO 633532000
Phone: (573) 754-5555
Fax: (573) 754-5932
Type: Location
8 TOWN CENTER DR
BOWLING GREEN, MO 633342803
Phone: (573) 324-2241
Fax: (573) 324-5162
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $445.
Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($112).
Total Amount
$445
General + Research + Ownership
Payments
25
Total payment records
General Amount
$445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-12-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-12-31 (891 days ago).
Enrollment records
1
Earliest due date
2023-12-31
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 |
|---|---|---|---|---|
| I20141201001359 | I | Nurse Practitioner | MO | 2023-12-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 63017)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MO | 85610 | Blood test, clotting time | 849 | 92 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO | |
| Internal Medicine | MO | |
| Nephrology, Internal Medicine, Nephrology, Internal Medicine | IL | |
| Nurse Practitioner | MO | |
| Emergency Medicine | MO | |
| Nurse Practitioner | MO | |
| P A T H O L O G Y | MO | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MO |
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