Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelley Runde, APRN-CNPPMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1942993894

Kelley Runde, APRN-CNPPMHNP-BC is a Nurse Practitioner in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2022, 4 years ago. Practices with Provident Inc, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
4
Trained at
Saint Louis University School of Medicine
Licensed in
IL, MO
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2650 Olive St
Saint Louis, MO 63103-1489
Phone: (314) 802-2635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023009456 (MO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209027488 (IL)

Record details

NPI number1942993894
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-CNPPMHNP-BC
Sole proprietorNo
NPI enumeratedMay 29, 2023
Last updated in NPPESMarch 10, 2026
Certification dateMarch 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Provident Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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