Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Elizabeth Buntaine, FNP-C

Individual provider Emergency Registered Nurse · NPI 1073279568

Kelli Elizabeth Buntaine, FNP-C is a Nurse Practitioner in O Fallon, Missouri. Qualified in 2021, 5 years ago. Practices with SSM Health Care St Louis, a 175-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2991 Highway K
O Fallon, MO 63368-7862
Phone: (636) 435-2333
Fax: (314) 626-8009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Medical Plz, Lake St Louis, MO 63367-1366 — (636) 625-5300

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022015784 (MO)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 149260 (MO)

Record details

NPI number1073279568
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedNovember 9, 2021
Last updated in NPPESDecember 13, 2022
Certification dateDecember 13, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ssm Health Care St Louis — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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