Individual provider Active NPI

Nicholas Simpson

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1174174775
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019034298 Issued in MO
Practice address
8857 Ladue Road
St. Louis, MO 63124
Phone
(314) 576-8189
NPI assigned
Sep 25, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 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 2019034298 MO Primary

Addresses

Primary practice location

8857 Ladue Road
St. Louis, MO 63124

Mailing address

8857 Ladue Road
St. Louis, MO 63124

Other practice location 1

774 Gravois Bluffs Blvd
Fenton, MO 63026-7716
Phone (636) 343-5223

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
I20191107002435 MO Practitioner - Nurse Practitioner 7517399876 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Specialists of St Lukes LLCGroup PAC ID 0749213072, 13 clinicians

Practice addresses (Care Compare)

222 S Woods Mill Rd
Suite 750N
Chesterfield, MO 63017-3653
Phone (314) 205-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019034298MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Specialists of St Lukes LLC CurrentSince Jul 15, 2025 Accepting new patients
Emergency Physicians of St. Luke's, LLC CurrentSince Nov 10, 2019 Accepting new patients
Steven Baak, MD LLC CurrentSince Dec 1, 2021 Accepting new patients
Physician Specialists of St Lukes LLC Past Accepting new patients
Cardiothoracic Surgery, LLC Past Accepting new patients

Locations

3440 De Paul Ln
Ste 113
Bridgeton, MO 63044
Phone (314) 942-6464

222 S Woods Mill Rd
Ste 750N
Chesterfield, MO 63017
Phone (314) 205-6600

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

774 Gravois Bluffs Blvd
Fenton, MO 63026
Phone (636) 343-5223

8857 Ladue Rd
Saint Louis, MO 63124
Phone (314) 576-8189

Organizations & group practices 5

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 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": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1174174775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8857 LADUE ROAD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8857 LADUE ROAD",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63124",
            "telephone_number": "314-576-8189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "774 Gravois Bluffs Blvd",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630267716",
            "country_code": "US",
            "telephone_number": "636-343-5223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019034298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.