Individual provider Active NPI

Amanda Maria Kearney, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Weldon Spring, MO
National Provider Identifier
1194271163
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2018020945 Issued in MO
Practice address
4801 Weldon Spring Pkwy Ste 300
Weldon Spring, MO 63304-9101
Phone
(636) 949-5760
Fax
(866) 440-9231
NPI assigned
Aug 30, 2016
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2018020945 MO Primary

Addresses

Primary practice location

4801 Weldon Spring Pkwy Ste 300
Weldon Spring, MO 63304-9101

Mailing address

4801 Weldon Spring Pkwy Ste 300
Weldon Spring, MO 63304-9101
Phone (636) 949-5760

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
I20180813002608 MO Practitioner - Nurse Practitioner 9830447515 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
St. Charles Psychiatric Associates, Inc.Group PAC ID 0648431312, 8 clinicians

Practice addresses (Care Compare)

4801 Weldon Spring Pkwy
Suite 300
Weldon Spring, MO 63304-9101
Phone (636) 949-5760

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2018020945MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Psychiatric Associates, Inc. CurrentSince Sep 11, 2024 Accepting new patients
St. Louis Internal Medicine Inc PastSince Oct 1, 2022 Accepting new patients

Locations

4801 Weldon Spring Pkwy
#300
Weldon Spring, MO 63304
Phone (636) 949-3894

Interoperability endpoints

  • Direct secure messaging: saintcharlespsychiatricassociates.amandakearney@152459.advancedmd-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1194271163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY STE 300",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 WELDON SPRING PKWY STE 300",
            "city": "WELDON SPRING",
            "state": "MO",
            "postal_code": "633049101",
            "telephone_number": "636-949-5760",
            "fax_number": "866-440-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "AMANDA",
        "middle_name": "MARIA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2018020945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weldon Spring, MO

Sources for this page

Verify at the official NPI Registry.