Individual provider Active NPI

Nicole Tognoni, FNP

  • Family Nurse Practitioner
  • Saint Charles, MO
National Provider Identifier
1104404433
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021011331 Issued in MO
Practice address
719 N Benton Ave
Saint Charles, MO 63301-1947
Phone
(636) 578-6885
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021011331 MO Primary

Addresses

Primary practice location

719 N Benton Ave
Saint Charles, MO 63301-1947

Mailing address

719 N Benton Ave
Saint Charles, MO 63301-1947
Phone (636) 578-6885

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
I20211115001296 MO Practitioner - Nurse Practitioner 9436548393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

2022 Dorsett VLG
Maryland Heights, MO 63043-2208
Phone (314) 590-0520

Hospital & facility affiliations

  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St. Louis CurrentSince Sep 19, 2022 Accepting new patients
SSM Health Care St Louis CurrentSince Sep 19, 2022 Accepting new patients
Emergency Physicians of St. Luke'S, LLC CurrentSince Nov 1, 2021 Accepting new patients
Physician Specialists of St Lukes LLC Past Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520

Interoperability endpoints

  • Direct secure messaging: ntognoni419762@direct-ehr-ssmhc.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1104404433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 N BENTON AVE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011947",
            "telephone_number": "636-578-6885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 N BENTON AVE",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633011947",
            "telephone_number": "636-578-6885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOGNONI",
        "first_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021011331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.