Active NPI
Cecelia Pratt, FNP-C
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F03170063
- Practice address
- 621 S New Ballas Rd Ste 560a
Saint Louis, MO 63141-8261 - Phone
- (314) 251-6440
- NPI assigned
- Jun 14, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F03170063 | MO | Primary |
| Registered Nurse | 163W00000X | 2012024057 | MO |
Addresses
Primary practice location
621 S New Ballas Rd Ste 560a
Saint Louis, MO 63141-8261
Mailing address
606 Prairiegate CT
Lake Saint Louis, MO 63367-4362
Phone (636) 541-4607
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2012024057 | Other | MO | MISSOURI STATE BOARD OF NURSING |
| 1144714023 | Medicaid | MO | |
| F03170063 | Other | MO | AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Direct | |
| Direct Messaging Address | cpratt31307@direct-ehr-ssmhc.com | Direct |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012024057 | MO | MD | Registered Nurse |
| F03170063 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care St Louis | Current | Accepting new patients | |
| Mercy Clinic Burn and Plastic Surgery, LLC | Current | Accepting new patients | |
| Mercy Clinic Trauma and General Surgery, LLC | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Mercy Clinic Adult Psychiatry, LLC | Past | Accepting new patients | |
| Urgent Care for Kids | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1475 Kisker Rd
Saint Charles, MO 63304
Phone (636) 498-7400
701 S New Ballas Rd
Ste 310
Saint Louis, MO 63141
Phone (314) 251-8750
621 S New Ballas Rd
Ste 560A
Saint Louis, MO 63141
Phone (314) 251-6440
621 S New Ballas Rd
Ste 7003B
Saint Louis, MO 63141
Phone (314) 251-5570
Organizations & group practices 7
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.
-
- Plastic and Reconstructive Surgery Physician
- St. Louis, MO
- NPI 1912037433
-
- Trauma Surgery Physician
- Saint Louis, MO
- NPI 1699825695
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lake St Louis, MO
- NPI 1538113097
-
- Psychiatry Physician
- Festus, MO
- NPI 1750788972
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Urgent Care Clinic/Center
- Wentzville, MO
- NPI 1356644306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1144714023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 PRAIRIEGATE CT",
"city": "LAKE SAINT LOUIS",
"state": "MO",
"postal_code": "633674362",
"telephone_number": "636-541-4607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD STE 560A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418261",
"telephone_number": "314-251-6440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATT",
"first_name": "CECELIA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-14",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "F03170063",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2012024057",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI STATE BOARD OF NURSING",
"identifier": "2012024057",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1144714023",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD",
"identifier": "F03170063",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"address_1": "1475 Kisker Rd",
"city": "Saint Charles",
"state": "MO",
"country_code": "US",
"postal_code": "633048781",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cpratt31307@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "cpratt31307@direct-ehr-ssmhc.com",
"address_1": "1475 Kisker Rd",
"city": "Saint Charles",
"state": "MO",
"country_code": "US",
"postal_code": "633048781",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.