Active NPI
Nicole Christine Newman, PA
- Medical Physician Assistant
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2016023399
- Practice address
- 1044 N Mason Rd
Div Im Endocrinology, Ste 330
Saint Louis, MO 63141-6431 - Phone
- (314) 362-3500
- Fax
- (314) 230-1119
- NPI assigned
- Apr 1, 2015
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2016023399 | MO | Primary |
Addresses
Primary practice location
1044 N Mason Rd
Div Im Endocrinology, Ste 330
Saint Louis, MO 63141-6431
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 362-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220039111 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1044 N Mason Rd
Suite 330
Saint Louis, MO 63141-6689
Phone (314) 362-3500
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current | Accepting new patients | |
| Washington University | Current | Accepting new patients | |
| St. Lukes Medical Group | Past | Accepting new patients | |
| Washington University | Past | Accepting new patients |
Locations
1 Village Square Shop Ctr
Ste 1
Hazelwood, MO 63042
Phone (314) 252-7110
8 Millstone Campus Dr
Saint Louis, MO 63146
Phone (314) 273-4375
1044 N Mason Rd
Ste 330
Saint Louis, MO 63141
Phone (314) 996-8103
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.
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-
- Multi-Specialty Clinic/Center
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- NPI 1962442475
-
- Family Medicine Physician
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-
- Multi-Specialty Clinic/Center
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1184019663",
"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": "314-362-3500",
"fax_number": "314-230-1119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1044 N MASON RD",
"address_2": "DIV IM ENDOCRINOLOGY, STE 330",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631416431",
"telephone_number": "314-362-3500",
"fax_number": "314-230-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "NICOLE",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2025-04-17",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MO",
"license": "2016023399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220039111",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1044 N Mason Rd",
"address_2": "Div IM Endocrinology, Ste 330",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631416431",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.