Kelli Elizabeth Buntaine, FNP-C
NPI 1073279568ActiveIndividual· Nurse Practitioner, Family· O Fallon, MO
Nurse Practitioner, Family (FNP-C) with Ssm Health Care St Louis, practicing in O Fallon, Missouri. In 2024 Medicare paid $8,681 for 111 patients, and Part D covered 223 of their prescriptions, 82% of them generic. Lists Ssm St Joseph Health Center as a hospital affiliation.
Overview
| NPI | 1073279568 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Nov 9, 2021 |
| Last updated in NPPES | Dec 13, 2022 |
| Certified by provider | Dec 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2022015784 | MO |
| Registered Nurse, Emergency | 163WE0003X | 149260 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 111 |
|---|---|
| Services billed | 228 across 30 procedure codes |
| Paid by Medicare | $8,681 |
Part D prescriptions in 2024
| Prescriptions (claims) | 223 · 223 30-day fills |
|---|---|
| Patients | 183 |
| Total drug cost | $11,974 |
| Generic share | 82% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Ssm Health Care St LouisSaint Charles, MO · 167 clinicians
Hospital affiliation
- Ssm St Joseph Health CenterSaint Charles, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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