Individual provider Active NPI

Shelly Lynn Hulsey, CNM

  • Advanced Practice Midwife
  • Saint Louis, MO
National Provider Identifier
1194544726
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
2025018391 Issued in MO
Practice address
3844 S Lindbergh Blvd Ste 210
Saint Louis, MO 63127-1387
Phone
(314) 525-0420
Fax
(384) 421-0631
NPI assigned
Oct 9, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 2025018391 MO Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 2014022750 MO

Addresses

Primary practice location

3844 S Lindbergh Blvd Ste 210
Saint Louis, MO 63127-1387

Mailing address

PO Box 959354
Saint Louis, MO 63195-9354
Phone (314) 525-0420

Other practice location 1

965 Mattox Dr
Sullivan, MO 63080-2365
Phone (314) 747-1005

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Health Information Exchange (HIE)

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213003513 MO Practitioner - Certified Nurse Midwife (CNM) 8022598515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

660 Mason Ridge Ctr Dr
Suite 300
Saint Louis, MO 63141

PO Box
Saint Louis, MO 63195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
2014022750MOMDObstetrics & Gynecology Nurse Practitioner
2025018391MOMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Groups LC CurrentSince Feb 8, 2026 Accepting new patients
Physician Groups LC CurrentSince Feb 8, 2026 Accepting new patients

Locations

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

3844 S Lindbergh Blvd
Ste 210
Saint Louis, MO 63127
Phone (314) 525-0420

9450 Manchester Rd
Ste 206
Saint Louis, MO 63119
Phone (314) 725-9300

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1194544726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959354",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631959354",
            "telephone_number": "314-525-0420",
            "fax_number": "314-996-7561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3844 S LINDBERGH BLVD STE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271387",
            "telephone_number": "314-525-0420",
            "fax_number": "384-421-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 Mattox Dr",
            "address_purpose": "LOCATION",
            "city": "Sullivan",
            "state": "MO",
            "postal_code": "630802365",
            "country_code": "US",
            "telephone_number": "314-747-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULSEY",
        "first_name": "SHELLY",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MO",
            "license": "2025018391",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MO",
            "license": "2014022750",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3844 S Lindbergh Blvd Ste 210",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631271387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.