Active NPI
Courtney Mettes, NP
- Primary Care Nurse Practitioner
- Florissant, MO
National Provider Identifier
1093643355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 2026019757
- Practice address
- 1225 Graham Rd # 2320
Florissant, MO 63031-8012 - Phone
- (314) 953-6801
- NPI assigned
- May 8, 2026
- Last updated
- May 21, 2026
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2026019757 | MO | |
| Primary Care Nurse Practitioner | 363LP2300X | 2026019757 | MO | Primary |
Addresses
Primary practice location
1225 Graham Rd # 2320
Florissant, MO 63031-8012
Mailing address
PO Box 959354
Saint Louis, MO 63195-9354
Phone (314) 953-6801
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
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 |
|---|---|---|---|---|
| I20260616001317 | MO | Practitioner - Nurse Practitioner | 7810469376 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
660 Mason Ridge Ctr Dr
Suite 300
Saint Louis, MO 63141
PO Box
Saint Louis, MO 63195
PO Box
Suite 959354
Saint Louis, MO 63195-9354
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2026019757 | MO | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Past | Accepting new patients |
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1093643355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959354",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631959354",
"telephone_number": "314-953-6801",
"fax_number": "314-953-6819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 GRAHAM RD # 2320",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318012",
"telephone_number": "314-953-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METTES",
"first_name": "COURTNEY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-08",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2026019757",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MO",
"license": "2026019757",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1225 Graham Rd # 2320",
"city": "Florissant",
"state": "MO",
"country_code": "US",
"postal_code": "630318012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Florissant, MO
- Metro Cardiovascular, Inc. (Metro Health Center)
- Metro Dialysis Center - North, Inc. (Metro North Dialysis Center)
- Metro Medical North County LLC
- Metro Medical Urgent Care
- Metro North Eyecare David M. Picker, O.D., P.C.
- Lucias Daniel Meyer, O.D.
- Sarah E Meyer, DPT, ATC
- Stephanie Nicole Meyer
- Edgar Micere
- Michael Baer, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.