Individual provider Active NPI

Anne Nicole Stensland, AGNP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1124425400
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2014042046 Issued in MO
Practice address
1110 Highlands Plaza Dr E
Ste 375
Saint Louis, MO 63110-1392
Phone
(314) 367-3113
Fax
(314) 367-6491
NPI assigned
Dec 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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 2014042046 MO Primary

Addresses

Primary practice location

1110 Highlands Plaza Dr E
Ste 375
Saint Louis, MO 63110-1392

Mailing address

PO Box 7412035
Chicago, IL 60674-2035
Phone (314) 367-3113

Other identifiers 1

IdentifierTypeStateIssuer
420018738MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20150128001341 MO Practitioner - Nurse Practitioner 8022332758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1110 Highlands Plaza Dr E
Suite 375
Saint Louis, MO 63110-1354
Phone (314) 367-3113

Hospital & facility affiliations

  • SSM Health Rehabilitation Hospital Inpatient rehabilitation facility, Richmond Heights, MO, CCN 263031

Merit-based Incentive Payment System (MIPS)

Final score
32.75 of 100Reported as group
Quality
0
Promoting interoperability
99
Improvement activities
0
Cost
10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical Group LTD Current Accepting new patients
Washington University Clinical Associates - Maryland Medical CurrentSince Aug 12, 2024 Accepting new patients

Locations

1110 Highlands Plaza Dr E
Ste 375
Saint Louis, MO 63110
Phone (314) 367-3113

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 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": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1124425400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412035",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742035",
            "telephone_number": "314-367-3113",
            "fax_number": "314-367-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 HIGHLANDS PLAZA DR E",
            "address_2": "STE 375",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101392",
            "telephone_number": "314-367-3113",
            "fax_number": "314-367-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENSLAND",
        "first_name": "ANNE",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2014042046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420018738",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1110 Highlands Plaza Dr E",
            "address_2": "STE 375",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.