Individual provider Active NPI

Collin Patrick Magilligan, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1194377325
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019022744 Issued in MO
Practice address
425 N New Ballas Rd Ste 230
Saint Louis, MO 63141-6848
Phone
(314) 266-2066
Fax
(314) 266-2066
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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 2019022744 MO Primary

Addresses

Primary practice location

425 N New Ballas Rd Ste 230
Saint Louis, MO 63141-6848

Mailing address

425 N New Ballas Rd Ste 230
Saint Louis, MO 63141-6848
Phone (314) 266-2066

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
I20200713000182 MO Practitioner - Nurse Practitioner 4385076967 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Orthopedics Woods Mill LLCGroup PAC ID 4284872144, 13 clinicians

Practice addresses (Care Compare)

224 S Woods Mill Rd
Chesterfield, MO 63017-3513
Phone (314) 576-7013

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Orthopedics Woods Mill, LLC CurrentSince Aug 27, 2025 Accepting new patients
Onyx Spine Institute, LLC CurrentSince Nov 27, 2023 Accepting new patients
Associated Physicians Group LTD CurrentSince Apr 1, 2020 Accepting new patients
St. Lukes Medical Group PastSince Aug 27, 2025 Accepting new patients

Locations

916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211

121 Saint Lukes Center Dr
Ste 403
Chesterfield, MO 63017
Phone (314) 205-6149

224 S Woods Mill Rd
Ste 330S
Chesterfield, MO 63017
Phone (314) 576-7013

121 Saint Lukes Center Dr
Ste 403A
Chesterfield, MO 63017
Phone (314) 573-7013

304 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 334-9933

1705 Christy Dr
Ste 201
Jefferson Cty, MO 65101
Phone (573) 635-0051

845 N New Ballas Ct
Ste 120
Saint Louis, MO 63141
Phone (314) 200-0997

425 N New Ballas Rd
Ste 230
Saint Louis, MO 63141
Phone (314) 266-2066

Interoperability endpoints

  • Direct secure messaging: collinmagilligan@onyxspine.directglo.com

Organizations & group practices 4

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1194377325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N NEW BALLAS RD STE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416848",
            "telephone_number": "314-266-2066",
            "fax_number": "314-266-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N NEW BALLAS RD STE 230",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416848",
            "telephone_number": "314-266-2066",
            "fax_number": "314-266-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGILLIGAN",
        "first_name": "COLLIN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019022744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.