Active NPI
Shelly Lynn Hulsey, CNM
- Advanced Practice Midwife
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 2025018391
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2014022750 | MO | MD | Obstetrics & Gynecology Nurse Practitioner |
| 2025018391 | MO | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Current | Accepting new patients | |
| Physician Groups LC | Current | 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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
-
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.