Active NPI
Lesley Maria Endermuhle, FNP
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2015038464
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
10012 Kennerly Rd
Suite 102
Saint Louis, MO 63128-2197
Phone (314) 251-6840
Hospital & facility affiliations
- Mercy Hospital South
- Mercy Hospital St Louis
- Mercy Hospital Jefferson
- Mercy Hospital Southeast
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015038464 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital South | Current | Accepting new patients | |
| Mercy Clinic Surgical Specialists, LLC | Current | Accepting new patients | |
| Mercy Clinic Hyperbaric and Wound Care LLC | Current | Accepting new patients | |
| Mercy Hospital South | Current | 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
- 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.
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1043530538
-
- Surgery Physician
- Festus, MO
- NPI 1336568864
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- Medicare Defined Swing Bed Hospital Unit
- Saint Louis, MO
- NPI 1033714209
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Festus, MO
- NPI 1508859661
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- General Acute Care Hospital
- Cape Girardeau, MO
- NPI 1811006661
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
- Marsha Enchelmaier, RN
- Encore Home Care Services II, LLC
- Encore Home Care Services LLC
- Endearment Home Health LLC
- Danielle Elizabeth Endejan, MA PLPC
- Emory Madalyn Endicott, LCSW
- Endless Care Home Health Services, Inc
- Endless Care Home Health Services, Inc
- Endocrinology Diabetes & Metabolism Consultants P C
- Erin Lynn Endres, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.