KIMBERLY ANNO (WHNP-BC) – Women's Health Nurse Practitioner, NPI 1780077172
Women's Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KIMBERLY ANNO (WHNP-BC)
12639 OLD TESSON RD
SAINT LOUIS, MO 631282786
Phone: (314) 849-0311
Fax: (314) 849-4423
Type: Mailing
12266 DEPAUL DRIVE
SUITE 200
BRIDGETON, MO 63044
Phone: (314) 291-2975
Fax: (314) 291-2786
Type: Location
PO BOX 66308
HOUSTON, TX 772666308
Phone: (832) 548-5000
Fax: (314) 849-4423
Type: Mailing
6441 HIGH STAR DR STE 200
HOUSTON, TX 770745005
Phone: (832) 548-5000
Fax: (314) 291-2786
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $72.
Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.
Last reported payment date: 2023-08-28 • Largest payer in this snapshot: Mission Pharmacal Company ($32).
Total Amount
$72
General + Research + Ownership
Payments
4
Total payment records
General Amount
$72
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mission Pharmacal Company | $32 |
| Hologic Sales and Service, LLC | $24 |
| Exeltis, USA Inc. | $15 |
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: 2024-05-14
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 |
|---|---|---|---|---|
| I20240514002991 | I | Nurse Practitioner | TX | 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 63128)
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