Individual provider Active NPI

Sophia Leon Fechter, AGPCNP-C

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1134083470
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2025047758 Issued in MO
Practice address
621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141-8274
Phone
(314) 251-7840
NPI assigned
Dec 11, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2025047758 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 6017B
Saint Louis, MO 63141-8274

Mailing address

7408 Weil Ave
Saint Louis, MO 63119-3347
Phone (314) 800-5047

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
I20260303002088 MO Practitioner - Nurse Practitioner 6507348208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Palliative Care LLCGroup PAC ID 0941373732, 11 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 6017B
Saint Louis, MO 63141-8274
Phone (314) 251-7840

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025047758MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Palliative Care, LLC CurrentSince Feb 15, 2026 Accepting new patients

Locations

621 S New Ballas Rd
Ste 6017B
Saint Louis, MO 63141
Phone (314) 251-4652

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1134083470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7408 WEIL AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193347",
            "telephone_number": "314-800-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 6017B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418274",
            "telephone_number": "314-251-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FECHTER",
        "first_name": "SOPHIA",
        "middle_name": "LEON",
        "credential": "AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2025047758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.