Individual provider Active NPI

Deborah Kay Perkins, FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1053776179
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015038036 Issued in MO
Practice address
10050 Kennerly Rd Ste 2400
Saint Louis, MO 63128-2193
Phone
(314) 849-6066
NPI assigned
Dec 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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 2009003721 MO
Family Nurse Practitioner 363LF0000X 2015038036 MO Primary

Addresses

Primary practice location

10050 Kennerly Rd Ste 2400
Saint Louis, MO 63128-2193

Mailing address

10050 Kennerly Rd Ste 2400
Saint Louis, MO 63128-2193
Phone (314) 849-6066

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
I20160119002181 MO Practitioner - Nurse Practitioner 3678876000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oncology LLCGroup PAC ID 1153446471, 30 clinicians

Practice addresses (Care Compare)

10050 Kennerly Rd
Suite 2400
Saint Louis, MO 63128-2193
Phone (314) 849-6066

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009003721MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oncology, LLC CurrentSince Apr 28, 2024 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

10050 Kennerly Rd
Ste 2400
Saint Louis, MO 63128
Phone (314) 849-6066

607 S New Ballas Rd
Ste 33
Saint Louis, MO 63141
Phone (314) 251-4400

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

901 Patients First Dr
#1200
Washington, MO 63090
Phone (636) 390-1777

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

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 3

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": "1450224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1053776179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 2400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282193",
            "telephone_number": "314-849-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 2400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282193",
            "telephone_number": "314-849-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "DEBORAH",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-16",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009003721",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015038036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.