Individual provider Active NPI

Lindsey Marie Illinger, A-GNP-C

  • Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1013568518
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2019037294 Issued in MO
Practice address
232 S Woods Mill Rd Ste 400
Chesterfield, MO 63017-3467
Phone
(314) 205-6744
NPI assigned
Sep 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2019037294 MO Primary

Addresses

Primary practice location

232 S Woods Mill Rd Ste 400
Chesterfield, MO 63017-3467

Mailing address

947 Bellestri Dr
Ballwin, MO 63021-6483
Phone (314) 583-2224

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
I20191121000571 MO Practitioner - Nurse Practitioner 8921430463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Physical Therapy of Creve Coeur LLCGroup PAC ID 7719280841, 85 clinicians
Physical Therapy Spine and Sports Medicine LLCGroup PAC ID 3173654936, 123 clinicians
Premier Pain Consultants LLCGroup PAC ID 2860655495, 2 clinicians
Arnold Physical Therapy and Sports Medicine LLCGroup PAC ID 5698803278, 87 clinicians

Practice addresses (Care Compare)

12788 Olive Blvd
Creve Coeur, MO 63141-6211

15425 Manchester Rd
Suite 28
Ballwin, MO 63011-3077
Phone (636) 220-6969

232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 205-6744

9594 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 274-6314

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Consultants, LLC CurrentSince Oct 9, 2019 Accepting new patients
St. Lukes Medical Group Past Accepting new patients

Locations

232 S Woods Mill Rd
Ste 400E
Chesterfield, MO 63017
Phone (314) 205-6744

Organizations & group practices 5

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 2

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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1013568518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 BELLESTRI DR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216483",
            "telephone_number": "314-583-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD STE 400",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173467",
            "telephone_number": "314-205-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLINGER",
        "first_name": "LINDSEY",
        "middle_name": "MARIE",
        "credential": "A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2019037294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.