Anne Lupardus, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

2021001814 Issued in MO

Practice address

851 E 5TH St Ste 300
Washington, MO 63090-3130

Phone

(314) 239-8555

Fax

(314) 239-9444

NPI assigned

Dec 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Mercy Clinic East Communities

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1851335228
  NPD (past)

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

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1063280519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 300",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903130",
            "telephone_number": "573-673-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 300",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903130",
            "telephone_number": "314-239-8555",
            "fax_number": "314-239-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUPARDUS",
        "first_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2021001814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Loucks
• Royce E Lovern, D.O.
• Claire Bernadette Luck, OTR/L
• Reed Luikaart, DPM
• Luke R. Komotos LLC
• Julie Joanne Lynch, RPH
• Patricia Charlene Lyons, BSN, RN
• James G Mace, DDS
• Regina Victoria Maloney, RN, DNP, CPNP-PC
• Jamie Ranae Mangels

• Pediatric Nurse Practitioner in Washington, MO
• Providers in Washington, MO by specialty
• Pediatric Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.