Individual provider Active NPI

Cody Marie Eckelkamp, FNP, BC

  • Family Nurse Practitioner
  • St Louis, MO
National Provider Identifier
1154988327
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018034009 Issued in MO
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

Updated by the provider on May 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20190709000476 MO Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 3 organizations
I20241230000175 AR Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20241230000424 NM Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20250324001513 AZ Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20250415002534 CA Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20250513000767 TX Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20250618003765 IA Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20250623002712 WV Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20250717003755 TN Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20250926003013 SD Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20251119001058 KS Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20260219000991 MN Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization
I20260512003301 KY Practitioner - Nurse Practitioner 4789919150 Reassigns benefits to 1 organization

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
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Access Telecare California PCGroup PAC ID 8325373525, 86 clinicians
Mercy Clinic Adult Hospitalists - St. Louis, LLCGroup PAC ID 6002809944, 139 clinicians

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

LicenseStateTypeSpecialty
13887MNMDPhysical Therapist
2018034009MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Ap US 14, PA CurrentSince Oct 31, 2025 Accepting new patients
Boone Physician Services, LLC CurrentSince Aug 31, 2020 Accepting new patients
Access Telecare, PLLC CurrentSince Feb 3, 2023 Accepting new patients
Access Telecare California, P.C. CurrentSince May 26, 2025 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

  • Direct secure messaging: ceckelkamp1062405@direct.unitypoint.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.