Individual provider Active NPI

Annette Hood, MSN,RN,CS-ANP

  • Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1174611537
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
082960 Issued in MO
Practice address
1265 Graham Rd Ste 1
Florissant, MO 63031-8018
Phone
(314) 741-1600
Fax
(314) 741-1677
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Registered Nurse 163WN0300X 041-310356 IL
Nephrology Registered Nurse 163WN0300X 082960 MO
Nurse Practitioner 363L00000X 209005196 IL
Nurse Practitioner 363L00000X 082960 MO Primary

Addresses

Primary practice location

1265 Graham Rd Ste 1
Florissant, MO 63031-8018

Mailing address

1265 Graham Rd Ste 1
Florissant, MO 63031-8018
Phone (314) 741-1600

Other practice location 1

2044 Madison Ave Ste 15
Granite City, IL 62040-4641
Phone (314) 741-1600

Other identifiers 1

IdentifierTypeStateIssuer
425714409MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahood31086@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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
I20110627000679 MO Practitioner - Nurse Practitioner 5799963526 Reassigns benefits to 1 organization
I20110720000039 IL Practitioner - Nurse Practitioner 5799963526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Kidney Care LLCGroup PAC ID 6305130667, 8 clinicians

Practice addresses (Care Compare)

1265 Graham Rd
Suite 1
Florissant, MO 63031-8018
Phone (314) 741-1600

2044 Madison Ave
Granite City, IL 62040-4641
Phone (314) 741-1600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
041-310356ILMDNephrology Registered Nurse
209005196ILMDNurse Practitioner
082960MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Kidney Care LLC CurrentSince Sep 13, 2016 Accepting new patients
Doctors Group , PC PastSince Jun 2, 2024 Accepting new patients
Inderjit Singh MD Facp LLC Past Accepting new patients

Locations

2 Memorial Dr
Ste 201
Alton, IL 62002
Phone (618) 463-2390

2044 Madison Ave
Ste 15
Granite City, IL 62040
Phone (618) 451-1500

55 Nesbit Dr
Ste B
Bonne Terre, MO 63628
Phone (636) 937-3337

1400 US Highway 61
Ste 240A
Crystal Cty, MO 63028
Phone (636) 937-3337

1265 Graham Rd
Ste 1
Florissant, MO 63031
Phone (314) 551-0338

11155 Dunn Rd
Ste 211N
Saint Louis, MO 63136
Phone (314) 355-0018

Interoperability endpoints

  • Direct secure messaging: ahood31086@direct.acumenmd.com
  • FHIR API: https://api.platform.athenahealth.com/14360/brand/23/csg/1/fhir/r4

Organizations & group practices 3

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1174611537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 GRAHAM RD STE 1",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318018",
            "telephone_number": "314-741-1600",
            "fax_number": "314-741-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 GRAHAM RD STE 1",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630318018",
            "telephone_number": "314-741-1600",
            "fax_number": "314-741-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2044 Madison Ave Ste 15",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404641",
            "country_code": "US",
            "telephone_number": "314-741-1600",
            "fax_number": "314-741-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOD",
        "first_name": "ANNETTE",
        "credential": "MSN,RN,CS-ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "IL",
            "license": "041-310356",
            "primary": false
        },
        {
            "code": "163WN0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nephrology",
            "state": "MO",
            "license": "082960",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209005196",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "082960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425714409",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahood31086@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "1265 Graham Rd Ste 1",
            "city": "Florissant",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630318018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.