Kimberly Michelle Daller, FNP-BC
NPI 1164064440ActiveIndividual· Nurse Practitioner, Family· Fenton, MO
Nurse Practitioner, Family (FNP-BC) with Mercy East Ambulatory Services LLC, practicing in Fenton, Missouri. 67 Medicare patients in 2024, $5,419 paid; nearly all of their 174 Part D prescriptions were generic (91%). Integra Lifesciences Corporation reported $46.19 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1164064440 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-BC |
| Sole proprietor | No |
| NPI issued | Oct 8, 2019 |
| Last updated in NPPES | Jun 18, 2024 |
| Certified by provider | Jun 18, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 2019038326 | 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 | 67 |
|---|---|
| Services billed | 127 across 24 procedure codes |
| Paid by Medicare | $5,419 |
Part D prescriptions in 2024
| Prescriptions (claims) | 174 · 278 30-day fills |
|---|---|
| Patients | 113 |
| Total drug cost | $5,163 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Mercy East Ambulatory Services LLCChesterfield, MO · 105 clinicians
Industry payments (Open Payments)
- 2024$46.19 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Integra Lifesciences Corporation | $46.19 | 1 |
What the 2024 payments were for
- Food and Beverage$46.19 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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