MS. KIMBERLY DENISE SOUZA (FNP) – Family Nurse Practitioner, NPI 1902200645
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 MS. KIMBERLY DENISE SOUZA (FNP)
1317 SOUTH HWY. 32
EL DORADO SPRINGS, MO 64744
Phone: (417) 876-3333
Fax: (417) 876-4509
Type: Mailing
120 S Central Ave
Clayton, MO 631051705
Phone: (860) 788-6404
Type: Location
112 SW 7th St Ste 3C
Topeka, KS 666033858
Phone: (860) 788-6404
Type: Location
4701 Cox Rd Ste 285
Glen Allen, VA 230606808
Phone: (860) 788-6404
Type: Location
PO BOX 1595
MIDDLETOWN, CT 064578095
Phone:
Type: Mailing
400 E COURT AVE STE 110
DES MOINES, IA 503092027
Phone: (860) 788-6404
Type: Location
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: 2023-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20141113001809 | I | Nurse Practitioner | MO | TBD |
| I20190410003123 | I | Nurse Practitioner | IA | TBD |
| I20190514000463 | I | Nurse Practitioner | VA | TBD |
| I20200407003571 | I | Nurse Practitioner | KS | TBD |
| I20230629001798 | I | Nurse Practitioner | CO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2,058 | 296 | $0 |
| 99484 | Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional | 1,342 | 242 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 82 | 82 | $0 |
Insurance plans in this area (ZIP 64744)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MS | |
| Clinical Psychologist | OH | |
| - | MD | |
| - | OH | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | NE |
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