Kimberly Michelle Daller, FNP-BC in Fenton, MO

Kimberly Michelle Daller, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fenton, Missouri. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ssm Health Care Group and her current practice location is 1345 Smizer Mill Rd Ste 1100, Fenton, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 496-5023.

Kimberly Michelle Daller is licensed to practice in Missouri (license number 2019038326) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164064440.

Contact Information

	Kimberly Michelle Daller, FNP-BC
	1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026-7305
	(636) 496-5023
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Michelle Daller
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1345 Smizer Mill Rd Ste 1100, Fenton, 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.

Medical Education and Training:

Kimberly Michelle Daller graduated from nursing school in 2019

NPI Data:

NPI Number: 1164064440
Provider Enumeration Date: 10/08/2019
Last Update Date: 06/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1759713332
Enrollment ID: I20191120001201

Medical Identifiers

Medical identifiers for Kimberly Michelle Daller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164064440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2019038326 (Missouri)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Louis University Hospital	Saint louis, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ssm Health Care Group	0143608372	690

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Michelle Daller allows following entities to bill medicare on her behalf.

Entity Name	Ssm Health Care Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Michelle Daller is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kimberly Michelle Daller, FNP-BC Po Box 955534, Saint Louis, MO 63195-7305 Ph: () -	Kimberly Michelle Daller, FNP-BC 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026-7305 Ph: (636) 496-5023

Reviews and Comments

Nurse Practitioner Nurses in Fenton, MO

Ms. Lita Lapins, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Suite 300, Fenton, MO 63026 Phone: 314-238-9100 Fax: 314-238-9110
Laura Howard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1055 Bowles Ave Ste 200, Fenton, MO 63026 Phone: 636-496-3900
Rebecca Theresa Medlock, AGACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 736 Marco Valley Ct, Fenton, MO 63026 Phone: 314-413-2187
Allison Kate Brown, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Fenton, MO 63026 Phone: 314-200-2713
Brooke Salas, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 774 Gravois Bluffs Blvd Ste A, Fenton, MO 63026 Phone: 636-343-5223
Mrs. Cynthia Visintine, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5022
Elizabeth Shipp, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Smizer Mill Rd Ste 1100, Fenton, MO 63026 Phone: 636-496-5023

Kimberly Michelle Daller, FNP-BC - Medicare Nurse Practitioner in Fenton, MO