Individual provider Active NPI

Melanie J Kramer, NP-C

  • Adult Health Nurse Practitioner
  • Webster Groves, MO
National Provider Identifier
1073910295
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
A1114011 Issued in MO
Practice address
8045 Big Bend Blvd
Suite 107
Webster Groves, MO 63119-2714
Phone
(314) 961-7181
NPI assigned
Dec 3, 2014
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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 A1114011 MO Primary

Addresses

Primary practice location

8045 Big Bend Blvd
Suite 107
Webster Groves, MO 63119-2714

Mailing address

8045 Big Bend Blvd
Suite 107
Webster Groves, MO 63119-2714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A1114011MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hillsboro Sports Medicine P.C. CurrentSince May 10, 2026 Accepting new patients

Locations

10655 Business 21
Hillsboro, MO 63050
Phone (636) 209-7025

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1073910295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD",
            "address_2": "SUITE 107",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 BIG BEND BLVD",
            "address_2": "SUITE 107",
            "city": "WEBSTER GROVES",
            "state": "MO",
            "postal_code": "631192714",
            "telephone_number": "314-961-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MELANIE",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "A1114011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster Groves, MO

Sources for this page

Verify at the official NPI Registry.