Kenneth Gerdes , LLC
NPI 1679514095 · Specialist · Saint Louis, MO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Gerdes , LLC is a Specialist organization in Saint Louis, MO (NPI 1679514095).
Provider details
- NPI number
- 1679514095
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jacki Jordan, Billing Manager(314) 432-2580
- License
- 117124 (MO)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Frequently asked questions
- What is Kenneth Gerdes , LLC's NPI number?
- Kenneth Gerdes , LLC's National Provider Identifier (NPI) is 1679514095, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kenneth Gerdes , LLC?
- Kenneth Gerdes , LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Kenneth Gerdes , LLC located?
- Kenneth Gerdes , LLC's practice location on file with NPPES is 11155 Dunn Rd, Saint Louis, MO 63136-6150.
- What is Kenneth Gerdes , LLC's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Gerdes , LLC is (314) 432-2580.
- Does Kenneth Gerdes , LLC accept Medicare?
- Kenneth Gerdes , LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kenneth Gerdes , LLC?
- The authorized official listed on Kenneth Gerdes , LLC's NPPES record is Jacki Jordan, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kenneth Gerdes , LLC's NPI active?
- Yes — Kenneth Gerdes , LLC's NPI (1679514095) is active in the NPPES registry as of the last update on 2024-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.