Individual provider Active NPI

Alissa Leigh Struble, FNP

  • Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1164105490
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2024035390 Issued in MO
Practice address
1225 Graham Rd
Dept Emergency Medicine
Florissant, MO 63031-8012
Phone
(314) 362-9123
Fax
(314) 747-9160
NPI assigned
Aug 11, 2023
Last updated
Jul 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2024035390 MO Primary

Addresses

Primary practice location

1225 Graham Rd
Dept Emergency Medicine
Florissant, MO 63031-8012

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-9123

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240809002343 IL Practitioner - Nurse Practitioner 9032657945 Reassigns benefits to 7 organizations
I20250123002404 MO Practitioner - Nurse Practitioner 9032657945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington University Community Specialists LLCGroup PAC ID 8628588514, 94 clinicians
Southern Illinois Healthcare Foundation IncGroup PAC ID 1456256874, shared by 35 NPIs, 117 clinicians
Touchette Regional Hospital IncGroup PAC ID 7416843370, 46 clinicians
Midwest Emergency Anderson Health IncGroup PAC ID 8022401256, 33 clinicians

Practice addresses (Care Compare)

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 362-9123

2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-9191

5900 Bond Ave
Cahokia Heights, IL 62207-2326
Phone (618) 332-3060

6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Dec 1, 2024 Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc CurrentSince Jul 1, 2024 Accepting new patients
Southern Illinois Healthcare Foundation Inc Current Accepting new patients
Midwest Emergency Good Samaritan, Inc CurrentSince Jul 1, 2024 Accepting new patients
Anderson Medical Group, LLC CurrentSince Oct 1, 2024 Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince Jul 1, 2024 Accepting new patients
Southern Illinois Healthcare Foundation, Inc. Nurse Practitioner CurrentSince Aug 20, 2024 Accepting new patients
Midwest Inpatient Anderson Health, Inc CurrentSince Jul 1, 2024 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Aug 20, 2024 Accepting new patients
Touchette Regional Hospital Inc CurrentSince Jul 1, 2024 Accepting new patients
Washington University Community Specialists, LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

159 E McArthur Dr
Bethalto, IL 62010
Phone (618) 258-7380

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1103 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-2273

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

3417 Anderson Healthcare Dr
Edwardsville, IL 62025
Phone (618) 288-4929

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

108 W US Highway 40
Troy, IL 62294
Phone (618) 391-5065

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1225 Graham Rd
Florissant, MO 63031
Phone (314) 653-5630

1225 Graham Rd
#U
Florissant, MO 63031

11133 Dunn Rd
#U
Saint Louis, MO 63136

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

Interoperability endpoints

  • Direct secure messaging: alissa.struble.1@9559.direct.athenahealth.com

Organizations & group practices 11

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 1

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": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1164105490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-362-9123",
            "fax_number": "314-747-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 GRAHAM RD",
            "address_2": "DEPT EMERGENCY MEDICINE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318012",
            "telephone_number": "314-362-9123",
            "fax_number": "314-747-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUBLE",
        "first_name": "ALISSA",
        "middle_name": "LEIGH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2025-07-14",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2024035390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1225 Graham Rd",
            "address_2": "Dept Emergency Medicine",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630318012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.