Individual provider Active NPI

Gail L Craft, FNP

  • Pediatrics Physician
  • Ste Genevieve, MO
National Provider Identifier
1043361264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
121032 Issued in MO
Practice address
590 Pine Dr
Ste Genevieve, MO 63670-1456
Phone
(573) 883-4477
Fax
(573) 883-4472
NPI assigned
Jan 15, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 121032 MO Primary

Addresses

Primary practice location

590 Pine Dr
Ste Genevieve, MO 63670-1456

Mailing address

PO Box 366
Ste Genevieve, MO 63670-0366
Phone (573) 883-4477

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
I20050719000339 MO Practitioner - Nurse Practitioner 0749217032 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121032MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Analytical Pathology Services LTD Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Mercy Hospital Perry Current Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Aug 1, 2010 Accepting new patients
Ste Genevieve County Memorial Hospital Current Accepting new patients
Ste Genevieve County Memorial Hospital CurrentSince Apr 1, 2016 Accepting new patients
Mercy Hospital Perry CurrentSince Oct 1, 2023 Accepting new patients
Mercy Hospital Perry Past Accepting new patients

Locations

255 Boderman
Bloomsdale, MO 63627
Phone (573) 483-2727

434 N West St
Perryville, MO 63775
Phone (573) 547-2530

210 Hospital Ln
Ste 202
Perryville, MO 63775
Phone (573) 517-0999

212 Hospital Ln
Ste 101
Perryville, MO 63775
Phone (573) 547-7888

800 Ste Genevieve Dr
Ste Genevieve, MO 63670
Phone (573) 883-2571

753 Pointe Basse Dr
Ste Genevieve, MO 63670
Phone (573) 883-2782

590 Pine Dr
Ste Genevieve, MO 63670
Phone (573) 883-4455

990 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-5151

930 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-7424

Interoperability endpoints

  • Direct secure messaging: gailcraft@mhccaremail.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043361264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636700366",
            "telephone_number": "573-883-4477",
            "fax_number": "573-883-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 PINE DR",
            "city": "STE GENEVIEVE",
            "state": "MO",
            "postal_code": "636701456",
            "telephone_number": "573-883-4477",
            "fax_number": "573-883-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "GAIL",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "121032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ste Genevieve, MO

Sources for this page

Verify at the official NPI Registry.