Individual provider Active NPI

Stella Wohlfarth, FNP-C, MSN

  • Family Nurse Practitioner
  • Bridgeton, MO
National Provider Identifier
1043670466
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021013794 Issued in MO
Practice address
3478 Bridgeland Dr Ste 2
Bridgeton, MO 63044-2619
Phone
(314) 739-8200
Fax
(314) 735-4490
NPI assigned
Feb 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95003274 CA
Ambulatory Care Registered Nurse 163WP2201X 2021005093 MO
Registered Nurse 163W00000X 468363 CA
Family Nurse Practitioner 363LF0000X 2021013794 MO Primary

Addresses

Primary practice location

3478 Bridgeland Dr Ste 2
Bridgeton, MO 63044-2619

Mailing address

PO Box 740019
Atlanta, GA 30374-0019
Phone (312) 733-9730

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
I20220121001068 MO Practitioner - Nurse Practitioner 1658791546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berwald Surgical Medical IncGroup PAC ID 0840484861, 4 clinicians

Practice addresses (Care Compare)

3478 Bridgeland Dr
Suite 2
Bridgeton, MO 63044-2619
Phone (314) 739-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
468363CAMDRegistered Nurse
2021005093MOMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Berwald Surgical Medical Inc CurrentSince Jun 15, 2026 Accepting new patients
Oak Street Health Physicians Group of Missouri, LLC Family CurrentSince Mar 4, 2024 Accepting new patients
Mercy Clinic East Communities CurrentSince Jan 10, 2022 Accepting new patients

Locations

3478 Bridgeland Dr
Ste 2
Bridgeton, MO 63044
Phone (314) 739-8200

16659 E 23rd St S
Independence, MO 64055
Phone (816) 688-6000

3451 Union Blvd
Saint Louis, MO 63115
Phone (314) 390-9890

3843 Gravois Ave
Saint Louis, MO 63116
Phone (314) 888-0981

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

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": "1456444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1043670466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740019",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303740019",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 BRIDGELAND DR STE 2",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442619",
            "telephone_number": "314-739-8200",
            "fax_number": "314-735-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLFARTH",
        "first_name": "STELLA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C, MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-26",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003274",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "MO",
            "license": "2021005093",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "468363",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021013794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.