Kimberly Wickline, AGNP
Kimberly Wickline, AGNP is an Adult Health Nurse Practitioner in Ballwin, MO, registered under NPI 1376200733. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 15945 CLAYTON RD STE 340, Ballwin, MO 63011. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2021043381 | MO | Adult Health Nurse Practitioner primary |
This provider holds licence 2021043381 issued in MO. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 8921499666
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adult Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1376200733 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Nov 19, 2021 |
| Last updated | Feb 8, 2022 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | AGNP |
| Practice address |
15945 CLAYTON RD STE 340 Ballwin, MO 63011 (636) 256-5130 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 7 | 6 | 2 | 0 | 0 | 7 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 4 | 0 | 0 | 7 | 6 |
Sum = 57 · next multiple of 10 = 60 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.