Individual provider Active NPI

Elizabeth Lillmars-Stephens, FNP-C

  • Family Nurse Practitioner
  • Valley Park, MO
National Provider Identifier
1033696026
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07181374 Issued in MO
Practice address
783 Crescent Woods Dr
Valley Park, MO 63088-1328
Phone
(314) 412-4253
NPI assigned
Jul 23, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2013025091 MO
Family Nurse Practitioner 363LF0000X F07181374 MO Primary

Addresses

Primary practice location

783 Crescent Woods Dr
Valley Park, MO 63088-1328

Mailing address

783 Crescent Woods Dr
Valley Park, MO 63088-1328
Phone (314) 412-4253

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
I20230413002647 MO Practitioner - Nurse Practitioner 0345675443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

2341 S Brentwood Blvd
Brentwood Urgent Care
Saint Louis, MO 63144-2033
Phone (314) 963-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2013025091MOMDRegistered Nurse
F07181374MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Feb 27, 2023 Accepting new patients
SSM Health Care St. Louis CurrentSince Feb 27, 2023 Accepting new patients

Locations

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

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

2341 S Brentwood Blvd
Saint Louis, MO 63144
Phone (314) 731-6265

Interoperability endpoints

  • Direct secure messaging: elillmarsstephens445154@direct-ehr-ssmhc.com

Organizations & group practices 2

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 5

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": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1033696026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 CRESCENT WOODS DR",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881328",
            "telephone_number": "314-412-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 CRESCENT WOODS DR",
            "city": "VALLEY PARK",
            "state": "MO",
            "postal_code": "630881328",
            "telephone_number": "314-412-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLMARS-STEPHENS",
        "first_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2013025091",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F07181374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Park, MO

Sources for this page

Verify at the official NPI Registry.