Individual provider Active NPI

Joann Gipson, FNP-C

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1053844290
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017000682 Issued in MO
Practice address
3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone
(314) 953-8271
Fax
(314) 996-5291
NPI assigned
Apr 5, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017000682 MO
Family Nurse Practitioner 363LF0000X 2017000682 MO Primary
Registered Nurse 163W00000X 2008024041 MO

Addresses

Primary practice location

3015 N Ballas Rd
Saint Louis, MO 63131-2329

Mailing address

8101 Clayton Rd
Clayton, MO 63117-1103
Phone (314) 892-8352

Other practice location 1

1001 W Rue de la Banque
Apt G
Creve Coeur, MO 63141-5153
Phone (714) 366-3875

Other practice location 2

1225 Graham Rd Ste C-1340
Florissant, MO 63031-8019
Phone (314) 953-8271

Other practice location 3

7334 S Lindbergh Blvd
Saint Louis, MO 63125-4522
Phone (314) 892-8352

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20191205000278 MO Practitioner - Nurse Practitioner 5799118774 Reassigns benefits to 3 organizations
I20250411000963 IL Practitioner - Nurse Practitioner 5799118774 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians
Belleville Urgent Care Walk-in ClinicGroup PAC ID 4183050362, 5 clinicians

Practice addresses (Care Compare)

1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195

1225 Graham Rd
Suite 1220B
Florissant, MO 63031-8012
Phone (314) 953-8250

2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454

2801 W Main St
Belleville, IL 62226-6646
Phone (618) 416-2018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008024041MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wood River Urgent Care and Walk in Clinic Inc Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Rick Hummel MD PC CurrentSince Jan 17, 2020 Accepting new patients
Belleville Urgent Care Walk-in Clinic CurrentSince Apr 1, 2025 Accepting new patients
SSM Health Care St Louis CurrentSince Jul 1, 2024 Accepting new patients
SSM Health Care St. Louis CurrentSince Jul 1, 2024 Accepting new patients
Physician Groups LC CurrentSince Sep 1, 2024 Accepting new patients
Waterloo Urgent Care Walk in Clinic Company CurrentSince Apr 1, 2025 Accepting new patients
Gipson Mobile Health Family Current Accepting new patients
Physician Groups LC CurrentSince Sep 1, 2024 Accepting new patients
Granite City Urgent Care Walk-in Clinic CurrentSince Apr 1, 2025 Accepting new patients
Alton Urgent Care Walk in Clinic Company CurrentSince Apr 1, 2025 Accepting new patients

Locations

1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320

2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053

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

2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723

907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200

211 Madison Ave
Wood River, IL 62095
Phone (618) 709-7723

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

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

1225 Graham Rd
Ste C-1340
Florissant, MO 63031
Phone (314) 953-6093

1501 Charbonier Rd
Florissant, MO 63031
Phone (314) 921-2700

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330

660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433

11155 Dunn Rd
Ste 201N
Saint Louis, MO 63136
Phone (314) 741-1400

1601 Wentzville Pkwy
Ste 130
Wentzville, MO 63385
Phone (636) 332-8455

Organizations & group practices 11

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": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1053844290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 CLAYTON RD",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631171103",
            "telephone_number": "314-892-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 N BALLAS RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312329",
            "telephone_number": "314-953-8271",
            "fax_number": "314-996-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 W RUE DE LA BANQUE",
            "address_2": "APT G",
            "address_purpose": "LOCATION",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415153",
            "country_code": "US",
            "telephone_number": "714-366-3875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Graham Rd Ste C-1340",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630318019",
            "country_code": "US",
            "telephone_number": "314-953-8271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7334 S Lindbergh Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631254522",
            "country_code": "US",
            "telephone_number": "314-892-8352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIPSON",
        "first_name": "JOANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017000682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017000682",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2008024041",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3015 N Ballas Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.