Kimberly A Berthold, RN, BC, FNP | |
20 Ne Saint Lukes Blvd, Suite 240, Lees Summit, MO 64086-6001 | |
(816) 931-1883 | |
(816) 756-3645 |
Full Name | Kimberly A Berthold |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 16 Years |
Location | 20 Ne Saint Lukes Blvd, Lees Summit, Missouri |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780825570 | NPI | - | NPPES |
200258340D | Medicaid | KS | |
200258340E | Medicaid | KS | |
P00836071 | Other | MO | RAILROAD MEDICARE |
P00842733 | Other | KS | RAILROAD MEDICARE |
1780825570 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2008001025 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Lukes Hospital Of Kansas City | Kansas city, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Saint Lukes Physician Group Inc | 3577476894 | 1052 |
Entity Name | Saint Lukes Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093263717 PECOS PAC ID: 3577476894 Enrollment ID: O20031111000818 |
Mailing Address | Practice Location Address |
---|---|
Kimberly A Berthold, RN, BC, FNP 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 Ph: (816) 931-1883 | Kimberly A Berthold, RN, BC, FNP 20 Ne Saint Lukes Blvd, Suite 240, Lees Summit, MO 64086-6001 Ph: (816) 931-1883 |
Sherry L Broadhurst, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Ne Saint Lukes Blvd Ste 200, Lees Summit, MO 64086 Phone: 816-246-4302 | |
Rachael Goodman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Nw Executive Way Ste E, Lees Summit, MO 64063 Phone: 816-434-5205 Fax: 816-434-5207 | |
Ms. Brenda Sue Salazar, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3066 Sw Grandstand Cir, Lees Summit, MO 64081 Phone: 913-215-5008 Fax: 816-447-3960 | |
Mr. Thomas Christian Sims, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 | |
Brittany Ann Shingleton, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1202 Se Briarcroft St, Lees Summit, MO 64063 Phone: 816-872-8110 | |
Mrs. Makenzie Kayla Stroup, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3521 Ne Ralph Powell Rd, Lees Summit, MO 64064 Phone: 816-533-4398 | |
Flora Ann Gorham, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2741 Ne Mcbaine Dr, Lees Summit, MO 64064 Phone: 816-554-2600 |