Victoria J Vondrak, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2021019401 Issued in MO

Practice address

3871 Mexico Rd
Dept Orthopaedic Surgery
Saint Charles, MO 63303-3042

Phone

(314) 514-3500

Fax

(314) 878-7678

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Physical Therapy Spine and Sports Medicine LLCGroup PAC ID 3173654936, 123 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1679516033
  Medicare reassignment Care Compare group NPD
• Superior Healthcare Physical Medicine of West County, LLC

  • Physical Medicine & Rehabilitation Physician
  • Saint Louis, MO
  • NPI 1467825224
  Medicare reassignment NPD
• Physical Therapy Spine & Sports Medicine LLC

  • Rehabilitation Clinic/Center
  • Ballwin, MO
  • NPI 1942524087
  Care Compare group
• Superior Healthcare Physical Medicine of West County, LLC

  • Physical Medicine & Rehabilitation Physician
  • Saint Peters, MO
  • NPI 1538860267
  NPD
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1962442475
  NPD
• Washington University

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1134169568
  NPD (past)

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1073285185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-514-3500",
            "fax_number": "314-878-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3871 MEXICO RD",
            "address_2": "DEPT ORTHOPAEDIC SURGERY",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033042",
            "telephone_number": "314-514-3500",
            "fax_number": "314-878-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDRAK",
        "first_name": "VICTORIA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2025-05-21",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021019401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420102605",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "3871 Mexico Rd",
            "address_2": "Dept Orthopaedic Surgery",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633033042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Visionary Vaccination & Health Services
• Visiting Care Giving Support Services LLC
• Visiting Caregiver Services
• Doreen Vlassis, RPH
• Corinna Vomund, COTA/L
• Lisa M Vonwahlde, LCSW
• Elizabeth Voss, OD
• Jasmine Renee Vuong
• Deborah Wachter
• Traci Wagoner

• Family Nurse Practitioner in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.

Verify at the official NPI Registry.