Active NPI
Lauren Elise Carqueville, FNP-BC
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018003099
- Practice address
- 1001 S Kirkwood Rd Ste 300
Saint Louis, MO 63122-7250 - Phone
- (314) 525-4225
- Fax
- (314) 525-4229
- NPI assigned
- Jun 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209010482 | IL | |
| Family Nurse Practitioner | 363LF0000X | 2018003099 | MO | Primary |
Addresses
Primary practice location
1001 S Kirkwood Rd Ste 300
Saint Louis, MO 63122-7250
Mailing address
1001 S Kirkwood Rd Ste 300
Saint Louis, MO 63122-7250
Phone (314) 525-4225
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
714 Gravois Rd
Suite 100
Fenton, MO 63026-7723
Phone (636) 492-2245
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018003099 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy Clinic East Communities | Current | Accepting new patients | |
| Mercy East Ambulatory Services LLC | Current | Accepting new patients |
Locations
714 Gravois Rd
Ste 100
Fenton, MO 63026
Phone (636) 326-6100
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
1001 S Kirkwood Rd
Ste 300
Saint Louis, MO 63122
Phone (314) 525-4225
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
9735 Landmark Parkway Dr
Ste 200
Saint Louis, MO 63127
Phone (314) 525-1887
5425 Southfield Ctr
Saint Louis, MO 63123
Phone (314) 543-5258
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
Organizations & group practices 3
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.
-
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1720635329
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1336387836
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1962572396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1063851830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S KIRKWOOD RD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631227250",
"telephone_number": "314-525-4225",
"fax_number": "314-525-4229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S KIRKWOOD RD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631227250",
"telephone_number": "314-525-4225",
"fax_number": "314-525-4229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARQUEVILLE",
"first_name": "LAUREN",
"middle_name": "ELISE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-14",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209010482",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018003099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.