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

Kimberly J Cockrell, NP

Individual provider Family Nurse Practitioner · NPI 1649648890

Kimberly J Cockrell, NP is a Nurse Practitioner in Saint Charles, Missouri. Qualified in 2015, 11 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
11
Licensed in
MO
In the registry since
2015
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

400 1st Capitol Dr Ste 201
Saint Charles, MO 63301-2880
Phone: (636) 669-2332
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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 2015025661 (MO)

Record details

NPI number1649648890
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 4, 2015
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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