Individual provider Active NPI

Patricia L Pitman, FNP

  • Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1083915771
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2010037215 Issued in MO
Practice address
111 Saint Lukes Center Dr Ste 40B
Chesterfield, MO 63017-3509
Phone
(314) 864-6266
Fax
(314) 590-5451
NPI assigned
Nov 11, 2010
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2010037215 MO Primary

Addresses

Primary practice location

111 Saint Lukes Center Dr Ste 40B
Chesterfield, MO 63017-3509

Mailing address

PO Box 419161
Creve Coeur, MO 63141-9161
Phone (314) 523-5300

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
I20101220000444 MO Practitioner - Nurse Practitioner 1153519061 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine - SLMG South LLCGroup PAC ID 3971833443, 12 clinicians

Practice addresses (Care Compare)

103 Hilltop TRL
Eureka, MO 63025-3172
Phone (636) 587-6350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westglen Family Physicians, LLC CurrentSince Mar 6, 2017 Accepting new patients
Family Medicine - SLMG South, LLC CurrentSince Nov 1, 2020 Accepting new patients
St. Lukes Medical Group Past Accepting new patients
Physician Specialists of St Lukes LLC Past Accepting new patients

Locations

225 Clarkson Rd
Ellisville, MO 63011
Phone (636) 230-5050

1501 Professional Dr
Imperial, MO 63052
Phone (636) 464-4000

653 Big Bend Rd
Manchester, MO 63021
Phone (636) 685-7770

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

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 2

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1083915771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419161",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631419161",
            "telephone_number": "314-523-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR STE 40B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "314-864-6266",
            "fax_number": "314-590-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITMAN",
        "first_name": "PATRICIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-11",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2010037215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.