Individual provider Active NPI

Dawn Michelle Holemon, M.D.

  • Psychiatry Physician
  • Saint Peters, MO
National Provider Identifier
1073559589
Registry record updated Jul 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R2H59 Issued in MO
Practice address
255 Spencer Rd
Suite 201
Saint Peters, MO 63376-2494
Phone
(636) 939-2550
Fax
(636) 939-2551
NPI assigned
Jun 22, 2006
Last updated
Jul 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X R2H59 MO Primary

Addresses

Primary practice location

255 Spencer Rd
Suite 201
Saint Peters, MO 63376-2494

Mailing address

255 Spencer Rd
Suite 201
Saint Peters, MO 63376-2494
Phone (636) 939-2550

Other identifiers 1

IdentifierTypeStateIssuer
208669424MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NH, WY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081203000040 MO Practitioner - Psychiatry 9739240268 Reassigns benefits to 1 organization
Practice locations: Bridgeton, MO; Saint Peters, MO; Saint Charles, MO
I20190130000852 NH Practitioner - Psychiatry 9739240268 Reassigns benefits to 2 organizations
I20200303000270 WY Practitioner - PsychiatryPractitioner - Neurology 9739240268

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Saint Louis University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Joseph Hospital of Nashua NHGroup PAC ID 2062455611, 271 clinicians
Northern Human ServicesGroup PAC ID 3173595931, 27 clinicians

Practice addresses (Care Compare)

172 Kinsley St
Nashua, NH 03060-3648
Phone (603) 884-5600

3 Twelfth St
Berlin, NH 03570-3860
Phone (603) 752-7404

500 Medical Dr
Wentzville, MO 63385-3421
Phone (636) 327-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R2H59MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph Hospital of Nashua NH Current Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Sep 1, 2025 Accepting new patients
Northern Human Services Psychiatry CurrentSince Dec 3, 2018 Accepting new patients
County of St Louis Division of Fiscal Management Past Accepting new patients

Locations

500 Medical Dr
Wentzville, MO 63385
Phone (636) 327-1000

3 12th St
Berlin, NH 03570
Phone (603) 752-7404

87 Washington St
Conway, NH 03818
Phone (603) 447-3347

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248912000000",
    "number": "1073559589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD",
            "address_2": "SUITE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762494",
            "telephone_number": "636-939-2550",
            "fax_number": "636-939-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD",
            "address_2": "SUITE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762494",
            "telephone_number": "636-939-2550",
            "fax_number": "636-939-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLEMON",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2009-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R2H59",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208669424",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.