Active NPI
Michele Rene Yu, RN, FNP-C
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 155587
- Practice address
- 10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197 - Phone
- (314) 525-1538
- NPI assigned
- Apr 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 155587 | MO | Primary |
Addresses
Primary practice location
10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197
Mailing address
10012 Kennerly Rd Ste 300
Saint Louis, MO 63128-2197
Phone (314) 525-1538
Other practice location 1
10004 Kennerly Rd Ste 115A
Saint Louis, MO 63128-5106
Phone (314) 525-1538
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156820006 | Other | MO | MEDICARE PTAN # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040330001204 | MO | Practitioner - Nurse Practitioner | 1355333543 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Heart and Vascular LLC
Practice addresses (Care Compare)
10012 Kennerly Rd
Saint Louis, MO 63128-2197
625 S New Ballas Rd
Saint Louis, MO 63141-8253
Hospital & facility affiliations
- Mercy Hospital South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 155587 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Anthony'S Physician Organization | Past | Accepting new patients | |
| Saint Luke'S Physician Group Inc | Past | Accepting new patients |
Interoperability endpoints
- myu992529@directc.mercy.net
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1932176401
MO
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1851553598
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": "1175904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1003939935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-1538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10012 KENNERLY RD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282197",
"telephone_number": "314-525-1538"
}
],
"practiceLocations": [
{
"address_1": "10004 Kennerly Rd Ste 115A",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631285106",
"country_code": "US",
"telephone_number": "314-525-1538",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "MICHELE",
"middle_name": "RENE",
"name_prefix": "Mrs.",
"credential": "RN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-07",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "155587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN #",
"identifier": "156820006",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.