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

Mrs. Kimberly L. Koontz, NP-C

Individual provider Family Nurse Practitioner · NPI 1205235355

Mrs. Kimberly L. Koontz, NP-C is a Nurse Practitioner in Saint Peters, Missouri. Qualified in 2014, 12 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Missouri.

Years since qualifying
12
Licensed in
IL, MO
In the registry since
2014
Specialties on file
2
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

1615 Jungermann Rd
Saint Peters, MO 63304-2821
Phone: (636) 800-2157
Fax: (636) 800-2159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1025 S 6th St, Springfield, IL 62703-2403 — (217) 528-7541

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2023006444 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209011642 (IL)

Record details

NPI number1205235355
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedAugust 14, 2014
Last updated in NPPESJune 21, 2023
Certification dateJune 21, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Saint Peters