Active NPI
Elysha M Kachevas
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2013041945
- Practice address
- 11133 Dunn Rd
Suite 2335
Saint Louis, MO 63136-6119 - Phone
- (314) 653-5007
- Fax
- (314) 653-4149
- NPI assigned
- Nov 5, 2013
- Last updated
- Nov 21, 2013
- 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 | 2013041945 | MO | Primary |
Addresses
Primary practice location
11133 Dunn Rd
Suite 2335
Saint Louis, MO 63136-6119
Mailing address
11133 Dunn Rd
Suite 2335
Saint Louis, MO 63136-6119
Phone (314) 653-5007
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
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
Practice addresses (Care Compare)
300 1St Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 443-2661
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5160
6 Jungermann Cir
Suite 210
Saint Peters, MO 63376-1625
Phone (636) 441-6056
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.46 of 100
- Quality
- 63.46
- Improvement activities
- 40
- Cost
- 83.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013041945 | MO | MD | Family Nurse Practitioner |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pulmonary Disease Physician
- Saint Louis, MO
- NPI 1164534210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1023447539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11133 DUNN RD",
"address_2": "SUITE 2335",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366119",
"telephone_number": "314-653-5007",
"fax_number": "314-653-4149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11133 DUNN RD",
"address_2": "SUITE 2335",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631366119",
"telephone_number": "314-653-5007",
"fax_number": "314-653-4149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHEVAS",
"first_name": "ELYSHA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-05",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2013041945",
"primary": true
}
],
"identifiers": [],
"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 Nov 21, 2013; 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.