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

Kimberly A Berthold, RN, BC, FNP

Individual provider Family Nurse Practitioner · NPI 1780825570

Kimberly A Berthold, RN, BC, FNP is a Nurse Practitioner in Lees Summit, Missouri. Qualified in 2008, 18 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
18
Licensed in
MO
In the registry since
2009
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BC — Board Certified
Appended to another credential to show current board certification, as in APRN-BC.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

20 NE Saint Lukes Blvd Ste 240
Lees Summit, MO 64086-6001
Phone: (816) 931-1883
Fax: (816) 756-3645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2008001025 (MO)

Record details

NPI number1780825570
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BC , FNP
Sole proprietorNo
NPI enumeratedMarch 9, 2009
Last updated in NPPESMay 8, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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