Carrie Lee Plisco, WHNP, AGPCNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1999140477 Issued in MO

Practice address

253 Dunn Rd
Florissant, MO 63031-7928

Phone

(314) 839-4554

Fax

(314) 837-0047

NPI assigned

May 2, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Multispecialty Group IncGroup PAC ID 1658365572, 118 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carrie.plisco.p3@direct.essehealth.nextgenshare.com
• Direct secure messaging: carrie.plisco.p1@direct.essehealth.nextgenshare.com

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.

• American Multispecialty Group Inc.

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1972559532

  Gerontology, MO

  Medicare reassignment Care Compare group NPD
• English and McLaughlin, P.C.

  • Internal Medicine Physician
  • Shiloh, IL
  • NPI 1780314781

  IL

  Medicare reassignment NPD (past)
• Esse Health Heal at Home LLC

  • Internal Medicine Physician
  • Saint Louis, MO
  • NPI 1801518592
  NPD (past)

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1104092865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-839-4554",
            "fax_number": "314-837-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317928",
            "telephone_number": "314-839-4554",
            "fax_number": "314-837-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLISCO",
        "first_name": "CARRIE",
        "middle_name": "LEE",
        "credential": "WHNP, AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-02",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2020014169",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "1999140477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Platinum Consumer Direcred Services, LLC
• Platinum Healthcare in Home Services LLC
• Platinum Healthcare Living Services LLC
• Platinum Home Healthcare, LLC
• Pleasant Journey Mobile Lab
• Irwin Plisco, M.D.
• Donovan C Polack, MD
• Roseline Omolola Popoola, BS
• John A Powers, PNP
• Precious Palms in-Home Services LLC

• All providers in Florissant, MO
• Women's Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; 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.

Verify at the official NPI Registry.