Individual provider Active NPI

Catherine Nailaen Mepukori, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • St. Charles, MO
National Provider Identifier
1003514563
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023008021 Issued in MO
Practice address
4801 Weldon Spring Pkwy
St. Charles, MO 63304-9101
Phone
(314) 556-7612
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023008021 MO Primary

Addresses

Primary practice location

4801 Weldon Spring Pkwy
St. Charles, MO 63304-9101

Mailing address

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101
Phone (314) 556-7612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231116000167 MO Practitioner - Nurse Practitioner 1355798125 Reassigns benefits to 6 organizations
I20260127003184 IL Practitioner - Nurse Practitioner 1355798125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Missouri Medical Providers LLCGroup PAC ID 2365855913, 4 clinicians

Practice addresses (Care Compare)

1349 US Hwy 61
Festus, MO 63028-4107
Phone (636) 937-3500

1550 Wall St
Suite 234
Saint Charles, MO 63303-3546
Phone (636) 489-3555

900 E 9TH St
Metropolis, IL 62960-2700
Phone (636) 725-1241

Hospital & facility affiliations

  • Ste Genevieve County Memorial Hospital Hospital, Sainte Genevieve, MO, CCN 261330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023008021MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
Missouri Medical Providers LLC Psychiatric/Mental Health CurrentSince Mar 4, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince May 1, 2024 Accepting new patients
Psych Care Consultants LLC CurrentSince Oct 14, 2023 Accepting new patients
Mineral Area Psychiatric Services LLC CurrentSince Apr 1, 2025 Accepting new patients
Malaika LLC Psychiatric/Mental Health CurrentSince Feb 28, 2025 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince May 1, 2024 Accepting new patients
Alpha Allied Mental Health Services LLC Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
St. Louis Internal Medicine Inc Past Accepting new patients

Locations

900 E 9th St
Metropolis, IL 62960
Phone (618) 524-2683

1003 S Cedar St
Belton, MO 64012
Phone (816) 331-0781

10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800

202 S West St
Concordia, MO 64020
Phone (660) 463-2267

2215 Broadway St
Cpe Girardeau, MO 63701
Phone (573) 271-5311

2001 N Kingshighway St
Cpe Girardeau, MO 63701
Phone (573) 335-1999

1349 US Highway 61
Crystal Cty, MO 63028
Phone (636) 937-3500

1500 Calvary Church Rd
Crystal Cty, MO 63028
Phone (636) 933-1818

800 Chambers Rd
Ferguson, MO 63135
Phone (314) 522-8100

1550 Wall St
Ste 234
Saint Charles, MO 63303
Phone (636) 489-3555

1551 Wall St
Ste 110
Saint Charles, MO 63303
Phone (636) 493-9008

5000 Cedar Plaza Pkwy
Ste 350
Saint Louis, MO 63128
Phone (314) 843-4333

5408 S Broadway
Saint Louis, MO 63111
Phone (314) 353-7225

4905 Mexico Rd
Ste 300
Saint Peters, MO 63376
Phone (636) 928-5109

1100 Progress Pkwy
Ste Genevieve, MO 63670
Phone (573) 883-3454

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1003514563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "314-556-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "314-556-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEPUKORI",
        "first_name": "CATHERINE",
        "middle_name": "NAILAEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023008021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Charles, MO

Sources for this page

Verify at the official NPI Registry.