Individual provider Active NPI

Phylicia Little, FNP-BC

  • Family Nurse Practitioner
  • Maryland Heights, MO
National Provider Identifier
1053782276
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016027446 Issued in MO
Practice address
13655 Riverport Dr
Maryland Heights, MO 63043-4812
Phone
(314) 972-7000
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2016027446 MO Primary
Registered Nurse 163W00000X 2009020513 MO

Addresses

Primary practice location

13655 Riverport Dr
Maryland Heights, MO 63043-4812

Mailing address

13655 Riverport Dr
Maryland Heights, MO 63043-4812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161004001729 MO Practitioner - Nurse Practitioner 0941598197 Reassigns benefits to 5 organizations
I20220107000244 IL Practitioner - Nurse Practitioner 0941598197 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
Yam Medical Center LLCGroup PAC ID 8123445764, 4 clinicians

Practice addresses (Care Compare)

12800 Boenker LN
Bridgeton, MO 63044-2438
Phone (314) 499-6060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009020513MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
NP Health of Mo LLC CurrentSince Nov 1, 2025 Accepting new patients
Oak Street Health Physicians Group of Missouri, LLC Family CurrentSince Jul 7, 2025 Accepting new patients
Bloom Primary Mo II, LLC PastSince Mar 1, 2026 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

4401 Parker Rd
Black Jack, MO 63033
Phone (314) 312-0720

14855 North Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 532-0150

2920 Fee Fee Rd
Maryland Hts, MO 63043
Phone (314) 291-0121

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

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

Interoperability endpoints

  • Direct secure messaging: ms_pgrossic@landmarkhealth-direct.org
  • Direct secure messaging: phylicia.grossich@oakstreethealth.gwaydirect.com

Organizations & group practices 7

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1053782276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13655 RIVERPORT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13655 RIVERPORT DR",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630434812",
            "telephone_number": "314-972-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLE",
        "first_name": "PHYLICIA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016027446",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2009020513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

Verify at the official NPI Registry.