Active NPI
Cody Marie Eckelkamp, FNP, BC
- Family Nurse Practitioner
- St Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018034009
- Practice address
- 621 S New Ballas Road
St Louis, MO 63141 - Phone
- (636) 667-3425
- NPI assigned
- May 23, 2019
- 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 | 2018034009 | MO | Primary |
Addresses
Primary practice location
621 S New Ballas Road
St Louis, MO 63141
Mailing address
621 S New Ballas Rd
Saint Louis, MO 63141-8232
Phone (314) 569-6340
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR, NM, AZ, CA, TX, IA, WV, TN, SD, KS, MN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 13
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Manchester, MO 63021
Phone (972) 449-0540
Spring, TX 77382
Phone (972) 449-0540
Shenandoah, TX 77384
Phone (972) 449-0540
San Antonio, TX 78255
Phone (972) 449-0540
Avondale, AZ 85392
Phone (972) 449-0540
Tucson, AZ 85718
Phone (972) 449-0540
101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (972) 449-0540
10501 Golf Course Rd NW
Albuquerque, NM 87114-5019
Phone (972) 449-0540
117 E 19TH St
Roswell, NM 88201-5151
Phone (972) 449-0540
1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (972) 449-0540
1441 Florida Ave
Modesto, CA 95350-4404
Phone (972) 449-0540
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (972) 449-0540
175 Hospital Dr
Winchester, KY 40391-9591
Phone (912) 449-0240
2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540
2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (972) 449-0540
2450 S Telshor Blvd
Las Cruces, NM 88011-5069
Phone (972) 449-0540
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Phone (972) 449-0540
500 N Highland Ave
Sherman, TX 75092-7354
Phone (972) 449-0540
506 E San Antonio St
Victoria, TX 77901-6060
Phone (972) 449-0540
551 Hill Country Dr
Kerrville, TX 78028-6085
Phone (972) 449-0540
5700 E Hwy 90
Sierra Vista, AZ 85635-9110
Phone (972) 449-0540
615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone (314) 251-6075
6901 Medical Pkwy
Waco, TX 76712-7910
Phone (972) 449-0540
800 Mercy Dr
Council Bluffs, IA 51503-3128
Phone (972) 449-0540
801 5TH St
Sioux City, IA 51101-1326
Phone (972) 449-0540
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13887 | MN | MD | Physical Therapist |
| 2018034009 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Ap US 14, PA | Current | Accepting new patients | |
| Boone Physician Services, LLC | Current | Accepting new patients | |
| Access Telecare, PLLC | Current | Accepting new patients | |
| Access Telecare California, P.C. | Current | Accepting new patients |
Locations
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
800 Mercy Dr
Council Bluffs, IA 51503
Phone (712) 328-5000
600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700
175 Hospital Dr
Winchester, KY 40391
Phone (859) 745-3500
1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000
1705 E Broadway
Ste 280
Columbia, MO 65201
Phone (573) 815-7119
1700 Rainbow Blvd
Exclsor Sprgs, MO 64024
315 S Osteopathy Ave
Kirksville, MO 63501
Phone (660) 785-1000
1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451
2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000
923 E Central Ave
La Follette, TN 37766
Phone (423) 907-1200
7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
20171 Chasewood Park Dr
Houston, TX 77070
Phone (713) 355-1000
2555 Jimmy Johnson Blvd
Port Arthur, TX 77640
Phone (409) 724-7389
Interoperability endpoints
- ceckelkamp1062405@direct.unitypoint.org
- ceckelkamp914608@ahs.direct-ci.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
AR, AZ, IA, KY, MN, MO, NM, SD, TN, WV
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1760893259
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1154988327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418232",
"telephone_number": "314-569-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S NEW BALLAS ROAD",
"city": "ST LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "636-667-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKELKAMP",
"first_name": "CODY",
"middle_name": "MARIE",
"credential": "FNP, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-23",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018034009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.