Individual provider Active NPI

Elizabeth Anne Rancour, MD

  • Dermatology Physician
  • Saint Louis, MO
National Provider Identifier
1093129538
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2018004930 Issued in MO
Practice address
10287 Clayton Rd Ste 360
Saint Louis, MO 63124-1181
Phone
(314) 350-8207
Fax
(314) 293-6801
NPI assigned
Jun 12, 2014
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2018004930 MO Primary

Addresses

Primary practice location

10287 Clayton Rd Ste 360
Saint Louis, MO 63124-1181

Mailing address

10287 Clayton Rd Ste 360
Saint Louis, MO 63124-1181
Phone (314) 350-8207

Other practice location 1

915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone (314) 289-6521

Other practice location 2

1204 E State Route 72
Rolla, MO 65401-3938
Phone (573) 878-5700

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180521000203 MO Practitioner - Dermatology 6002033776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Saint Louis University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Skin Care Dermatology LLCGroup PAC ID 3072043561, 2 clinicians
Meramec Dermatology LLCGroup PAC ID 4082941604, 12 clinicians

Practice addresses (Care Compare)

10287 Clayton Rd
Suite 360
Saint Louis, MO 63124-1181
Phone (314) 350-8207

3783 Vogel Rd
Arnold, MO 63010-6202
Phone (636) 751-0995

Merit-based Incentive Payment System (MIPS)

Final score
94.88 of 100Reported as group
Quality
89.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions519
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018004930MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Skin Care Dermatology, LLC Dermatology CurrentSince Dec 28, 2024 Accepting new patients
Meramec Dermatology LLC Dermatology CurrentSince Oct 1, 2023 Accepting new patients

Locations

3783 Vogel Rd
Arnold, MO 63010
Phone (636) 751-0995

1204 E State Route 72
Rolla, MO 65401
Phone (573) 364-1934

10287 Clayton Rd
Ste 360
Saint Louis, MO 63124
Phone (314) 350-8207

3555 Sunset Office Dr
Ste C102
Saint Louis, MO 63127
Phone (314) 858-1858

4800 Mexico Rd
Ste 104
Saint Peters, MO 63376
Phone (636) 916-4625

Interoperability endpoints

  • Direct secure messaging: erancour@pscderm.emadirect.md

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, 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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1093129538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10287 CLAYTON RD STE 360",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241181",
            "telephone_number": "314-350-8207",
            "fax_number": "314-293-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10287 CLAYTON RD STE 360",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241181",
            "telephone_number": "314-350-8207",
            "fax_number": "314-293-6801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 N Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631061621",
            "country_code": "US",
            "telephone_number": "314-289-6521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1204 E State Route 72",
            "address_purpose": "LOCATION",
            "city": "Rolla",
            "state": "MO",
            "postal_code": "654013938",
            "country_code": "US",
            "telephone_number": "573-878-5700",
            "fax_number": "866-684-3191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANCOUR",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2018004930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.