Individual provider Active NPI

Rachel Lee Wagster, NP

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Weldon Spring, MO
National Provider Identifier
1154895308
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
License
210302944 Issued in MO
Practice address
4801 Weldon Spring Pkwy # 300
Weldon Spring, MO 63304-9101
Phone
(636) 949-5760
Fax
(866) 440-9231
NPI assigned
Jan 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X 210302944 MO Primary

Addresses

Primary practice location

4801 Weldon Spring Pkwy # 300
Weldon Spring, MO 63304-9101

Mailing address

4801 Weldon Spring Pkwy # 300
Weldon Spring, MO 63304-9101
Phone (636) 949-5760

Other practice location 1

2025 S Brentwood Blvd Ste 209
Brentwood, MO 63144-1851
Phone (636) 949-5760

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
I20190603001252 MO Practitioner - Nurse Practitioner 7113250309 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians
St. Charles Psychiatric Associates, Inc.Group PAC ID 0648431312, 8 clinicians

Practice addresses (Care Compare)

255 Spencer Rd
Suite 201
Saint Peters, MO 63376-2576
Phone (636) 939-2550

4801 Weldon Spring Pkwy
Suite 300
Weldon Spring, MO 63304-9101
Phone (636) 949-5760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210302944MOMDChild & Family Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Psychiatric Associates, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Apr 2, 2019 Accepting new patients

Locations

2025 S Brentwood Blvd
Ste 209
Saint Louis, MO 63144
Phone (636) 949-5760

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

425 S Woods Mill Rd
Ste 150
Town and Country, MO 63017
Phone (314) 269-0335

4801 Weldon Spring Pkwy
#300
Weldon Spring, MO 63304
Phone (636) 949-3894

Interoperability endpoints

  • Direct secure messaging: adv.rachelkranz@140753.advancedmd-direct.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1154895308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY # 300",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY # 300",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 S Brentwood Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "MO",
            "postal_code": "631441851",
            "country_code": "US",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGSTER",
        "first_name": "RACHEL",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "MO",
            "license": "210302944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

Sources for this page

Verify at the official NPI Registry.