Individual provider Active NPI

Lesley Maria Endermuhle, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1124492483
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015038464 Issued in MO
Practice address
10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone
(314) 525-4325
Fax
(314) 525-4365
NPI assigned
Nov 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 2015038464 MO Primary

Addresses

Primary practice location

10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197

Mailing address

10012 Kennerly Rd Ste 101
Saint Louis, MO 63128-2197
Phone (314) 525-4325

Other practice location 1

12700 Southfork Rd Ste 175
Saint Louis, MO 63128-3209
Phone (314) 525-1798

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
I20160205000043 MO Practitioner - Nurse Practitioner 1658675061 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Surgical Specialists LLCGroup PAC ID 1153455076, 180 clinicians

Practice addresses (Care Compare)

10012 Kennerly Rd
Suite 102
Saint Louis, MO 63128-2197
Phone (314) 251-6840

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023
  • Mercy Hospital Southeast Hospital, Cape Girardeau, MO, CCN 260110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015038464MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital South CurrentSince Mar 1, 2020 Accepting new patients
Mercy Clinic Surgical Specialists, LLC CurrentSince Jan 1, 2020 Accepting new patients
Mercy Clinic Hyperbaric and Wound Care LLC CurrentSince Dec 12, 2021 Accepting new patients
Mercy Hospital South CurrentSince Mar 1, 2020 Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Locations

1390 US Highway 61
Ste G
Crystal Cty, MO 63028
Phone (636) 933-1163

10012 Kennerly Rd
Ste 305
Saint Louis, MO 63128
Phone (314) 525-4325

621 S New Ballas Rd
Ste 3005B
Saint Louis, MO 63141
Phone (314) 251-7070

10012 Kennerly Rd
Ste 101
Saint Louis, MO 63128
Phone (314) 525-4325

10012 Kennerly Rd
Ste 102
Saint Louis, MO 63128
Phone (314) 525-4225

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

12700 Southfork Rd
Ste 175
Saint Louis, MO 63128
Phone (314) 525-1798

10012 Kennerly Rd
Ste 300
Saint Louis, MO 63128
Phone (314) 842-0602

851 E 5th St
Ste 108
Washington, MO 63090
Phone (636) 239-4144

Interoperability endpoints

  • Direct secure messaging: lendermuhle92093@directc.mercy.net

Organizations & group practices 5

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 5

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": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1124492483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-525-4325",
            "fax_number": "314-525-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 KENNERLY RD STE 101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282197",
            "telephone_number": "314-525-4325",
            "fax_number": "314-525-4365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12700 Southfork Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631283209",
            "country_code": "US",
            "telephone_number": "314-525-1798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENDERMUHLE",
        "first_name": "LESLEY",
        "middle_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015038464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.