Individual provider Active NPI

Laura M Gramolino, FNP-C

  • Family Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1013358100
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2013019421 Issued in MO
Practice address
1225 Graham Rd
Florissant, MO 63031-8012
Phone
(314) 953-6994
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2013019421 MO
Family Nurse Practitioner 363LF0000X 2013019421 MO Primary

Addresses

Primary practice location

1225 Graham Rd
Florissant, MO 63031-8012

Mailing address

62 Patrice Ter
Lake St Louis, MO 63367-2014
Phone (314) 602-7007

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130927000362 MO Practitioner - Nurse Practitioner 2466686779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013019421MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Dec 25, 2017 Accepting new patients
Total Access Urgent Care, PC CurrentSince Dec 25, 2017 Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Sep 2, 2014 Accepting new patients
North County Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Our Urgent Care, LLC PastSince Dec 9, 2019 Accepting new patients

Locations (25 of 30)

9538 Gravois Rd
Affton, MO 63123
Phone (314) 932-0817

12409 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 455-4046

2501 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 778-9989

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

10923 Olive Blvd
Creve Coeur, MO 63141
Phone (314) 764-2953

408 Brothers Dr
Festus, MO 63028
Phone (636) 429-0999

1090 N Highway 67 St
Florissant, MO 63031

1225 Graham Rd
Florissant, MO 63031
Phone (314) 653-5630

915 N Kirkwood Rd
Kirkwood, MO 63122
Phone (314) 932-0810

1001 Southern Ridge Ln
Lake Saint Louis, MO 63367
Phone (636) 265-6230

2 Progress Point Pkwy
O Fallon, MO 63368
Phone (636) 344-1000

507 S Main St
O Fallon, MO 63366
Phone (636) 409-1092

4201 Highway K
O Fallon, MO 63368

8961 Page Ave
Overland, MO 63114

2138 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 534-4498

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

4400 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 343-0056

2980 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (636) 529-8411

1005 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 449-8677

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

3114 S Grand Blvd
Saint Louis, MO 63118

12616 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128

6900 Chippewa St
Saint Louis, MO 63109

2060 Hampton Ave
Saint Louis, MO 63139
Phone (314) 696-2341

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1013358100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 PATRICE TER",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672014",
            "telephone_number": "314-602-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GRAHAM RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318012",
            "telephone_number": "314-953-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMOLINO",
        "first_name": "LAURA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2013019421",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2013019421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.