Individual provider Active NPI

Sarah E Kessen, MSN, ANP

  • Nurse Practitioner
  • St. Louis, MO
National Provider Identifier
1063466910
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
127828 Issued in MO
Practice address
12855 North Forty Drive
Suite 125
St. Louis, MO 63141
Phone
(314) 966-0111
Fax
(314) 966-1023
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 127828 MO Primary

Addresses

Primary practice location

12855 North Forty Drive
Suite 125
St. Louis, MO 63141

Mailing address

12813 Flushing Meadows Drive
Suite 210
St. Louis, MO 63141
Phone (314) 966-0111

Other identifiers 4

IdentifierTypeStateIssuer
151725OtherMOBCBS
P00603957OtherMOMEDICARE RAILROAD
000080957OtherMOMEDICARE
466634OtherMOHEALTHLINK

Other names 1

  • Miss Sarah E Ehlen Former name

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
I20080410000592 MO Practitioner - Nurse Practitioner 9234216508 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Surgical Specialists, LLC CurrentSince Jun 1, 2015 Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Locations

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

12855 N 40 Dr
Ste 125
Saint Louis, MO 63141
Phone (314) 806-1770

701 S New Ballas Rd
Ste 510
Saint Louis, MO 63141
Phone (314) 251-6710

10777 Sunset Office Dr
Ste 120
Saint Louis, MO 63127
Phone (314) 251-6710

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

Interoperability endpoints

  • Direct secure messaging: skessen175667@directc.mercy.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1063466910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12813 FLUSHING MEADOWS DRIVE",
            "address_2": "SUITE 210",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-966-0111",
            "fax_number": "314-966-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 NORTH FORTY DRIVE",
            "address_2": "SUITE 125",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63141",
            "telephone_number": "314-966-0111",
            "fax_number": "314-966-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KESSEN",
        "first_name": "SARAH",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MSN, ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "127828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "151725",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00603957",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "000080957",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "466634",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "EHLEN",
            "middle_name": "E",
            "prefix": "MISS",
            "credential": "MSN, ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.