Individual provider Active NPI

Misty D Wheelock, ANP

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1073700217
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
142467 Issued in MO
Practice address
10050 Kennerly Rd Ste 2400
Saint Louis, MO 63128-2193
Phone
(314) 849-6066
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 142467 MO Primary

Addresses

Primary practice location

10050 Kennerly Rd Ste 2400
Saint Louis, MO 63128-2193

Mailing address

10050 Kennerly Rd Ste 2400
Saint Louis, MO 63128-2193
Phone (314) 849-6066

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address misti.wheelock@direct.signature.nextgenshare.com

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
I20080318000373 MO Practitioner - Nurse Practitioner 4284710195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oncology LLCGroup PAC ID 1153446471, 30 clinicians

Practice addresses (Care Compare)

10050 Kennerly Rd
Suite 2400
Saint Louis, MO 63128-2193
Phone (314) 849-6066

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oncology, LLC CurrentSince May 28, 2024 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

10050 Kennerly Rd
Ste 2400
Saint Louis, MO 63128
Phone (314) 849-6066

607 S New Ballas Rd
Ste 33
Saint Louis, MO 63141
Phone (314) 251-4400

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: misti.wheelock@direct.signature.nextgenshare.com

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.

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1073700217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 2400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282193",
            "telephone_number": "314-849-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 2400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282193",
            "telephone_number": "314-849-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELOCK",
        "first_name": "MISTY",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "142467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "misti.wheelock@direct.signature.nextgenshare.com",
            "affiliation": "N",
            "address_1": "845 N New Ballas Ct",
            "address_2": "Suite 200",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631417134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.