Active NPI
Meghan Henningsen, D.O.
- Family Medicine Physician
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2016020851
- Practice address
- 17417 Chesterfield Airport Rd
Chesterfield, MO 63005-1308 - Phone
- (366) 857-7246
- NPI assigned
- Jun 27, 2016
- 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 Medicine Physician | 207Q00000X | 2016020851 | MO | Primary |
Addresses
Primary practice location
17417 Chesterfield Airport Rd
Chesterfield, MO 63005-1308
Mailing address
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Kansas City University of Physicians and Surgeons, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17417 Chesterfield Airport Rd
Chesterfield, MO 63005-1308
Phone (636) 685-7724
Hospital & facility affiliations
- St Lukes Hospital
- SSM St Joseph Hospital West
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016020851 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of St. Luke'S, LLC | Family Medicine | Current | Accepting new patients |
| Physician Specialists of St Lukes LLC | Family Medicine | Past | Accepting new patients |
| Cardiothoracic Surgery, LLC | Past | Accepting new patients |
Locations
17421 Chesterfield Airport Rd
Chesterfield, MO 63005
Phone (636) 685-7720
233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644
2345 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (314) 821-5850
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IL PPO Downstate
Organizations & group practices 4
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.
-
- Family Medicine Physician
- O Fallon, MO
- NPI 1285720169
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
Family Medicine
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chesterfield, MO
- NPI 1104895812
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
Family Medicine
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596412800000",
"number": "1013368455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 DOUGHERTY FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631223313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17417 CHESTERFIELD AIRPORT RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051308",
"telephone_number": "366-857-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNINGSEN",
"first_name": "MEGHAN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-27",
"last_updated": "2020-08-03",
"certification_date": "2020-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2016020851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.