Individual provider Active NPI

Gayle Ostermiller, FNP-BC

  • Family Nurse Practitioner
  • Arnold, MO
National Provider Identifier
1023542602
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017006438 Issued in MO
Practice address
1296 Jeffco Blvd
Arnold, MO 63010-2138
Phone
(636) 321-8610
NPI assigned
Apr 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017006438 MO Primary

Addresses

Primary practice location

1296 Jeffco Blvd
Arnold, MO 63010-2138

Mailing address

1296 Jeffco Blvd
Arnold, MO 63010-2138
Phone (636) 321-8610

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gostermiller211052@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Direct

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
I20170522000211 MO Practitioner - Nurse Practitioner 0941577050 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St. Louis CurrentSince Jun 1, 2017 Accepting new patients
SSM Health Care St Louis CurrentSince Jun 1, 2017 Accepting new patients
Board of Trustees of Southern Illinois University Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1296 Jeffco Blvd
Ste B
Arnold, MO 63010
Phone (636) 321-8600

1296 Jeffco Blvd
Arnold, MO 63010
Phone (636) 321-8600

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1145 Corporate Lake Dr
Saint Louis, MO 63132
Phone (314) 989-6189

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.

NPI Registry JSON

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1023542602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102138",
            "telephone_number": "636-321-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102138",
            "telephone_number": "636-321-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERMILLER",
        "first_name": "GAYLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-20",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017006438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gostermiller211052@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "gostermiller211052@direct-ehr-ssmhc.com",
            "address_1": "1296 Jeffco Blvd",
            "city": "Arnold",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630102138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1296 Jeffco Blvd",
            "city": "Arnold",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630102138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.