Active NPI
Keely Dyan Schoonover, FNP
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018021611
- Practice address
- 4921 Parkview PL
Saint Louis, MO 63110-1032 - Phone
- (314) 454-8134
- NPI assigned
- Dec 11, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2009002195 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2018021611 | MO | Primary |
Addresses
Primary practice location
4921 Parkview PL
Saint Louis, MO 63110-1032
Mailing address
4921 Parkview PL
Saint Louis, MO 63110-1032
Phone (314) 454-8134
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHI | Health Information Exchange (HIE) | Barnes Jewish Hospital |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260129002075 | MO | Order and Referring Only - Nurse Practitioner | 0345597142 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009002195 | MO | MD | Registered Nurse |
| 2018021611 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Missouri Health Council, Inc. | Family | Current | Accepting new patients |
| Barnes Jewish Hospital | Past | Accepting new patients |
Locations
104 E Jackson St
Edina, MO 63537
Phone (660) 397-3517
1416 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
1506 Crown Dr
Kirksville, MO 63501
Phone (660) 627-4493
402 W Jefferson St
Kirksville, MO 63501
Phone (660) 665-2741
52334 Business Highway 5
Milan, MO 63556
Phone (660) 265-1042
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
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.
-
- Federally Qualified Health Center (FQHC)
- Kirksville, MO
- NPI 1104829498
Family
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757376000000",
"number": "1083129167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4921 PARKVIEW PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101032",
"telephone_number": "314-454-8134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4921 PARKVIEW PL",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101032",
"telephone_number": "314-454-8134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOONOVER",
"first_name": "KEELY",
"middle_name": "DYAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-11",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2009002195",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018021611",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHI",
"affiliation": "Y",
"endpointDescription": "BJC",
"affiliationName": "Barnes Jewish Hospital",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1 Barnes-Jewish Hospital Plz",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101003",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 9, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.