Individual provider Active NPI

Amy Theresa McCory, ANP

  • Adult Health Nurse Practitioner
  • Saint Charles, MO
National Provider Identifier
1205218344
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2015000840 Issued in MO
Practice address
1551 Wall St Ste 400
Saint Charles, MO 63303-3541
Phone
(636) 669-7006
Fax
(636) 669-7008
NPI assigned
Jun 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2015000840 MO Primary

Addresses

Primary practice location

1551 Wall St Ste 400
Saint Charles, MO 63303-3541

Mailing address

PO Box 419052
Saint Louis, MO 63141-9052
Phone (314) 851-1000

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
I20150727001247 MO Practitioner - Nurse Practitioner 3971817578 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Multispecialty Group Inc 118 clinicians

Practice addresses (Care Compare)

1475 Kisker Rd
Suite 230
Saint Charles, MO 63304-8791
Phone (636) 939-5000

Hospital & facility affiliations

  • SSM St Joseph Health Center Hospital, Saint Charles, MO, CCN 260005
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015000840MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Multispecialty Group Inc. Adult Health CurrentSince Oct 25, 2021 Accepting new patients
Southeastern Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients

Locations

1475 Kisker Rd
Ste 230
Saint Charles, MO 63304
Phone (636) 939-5000

1551 Wall St
Ste 400
Saint Charles, MO 63303
Phone (636) 462-6106

9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827

5400 Executive Centre Pkwy
Saint Peters, MO 63376
Phone (636) 288-4149

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

894 Leland Ave
University City, MO 63130
Phone (314) 726-4767

Interoperability endpoints

  • Direct secure messaging: amy.mccory.p1@direct.essehealth.nextgenshare.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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1205218344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419052",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631419052",
            "telephone_number": "314-851-1000",
            "fax_number": "314-851-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 WALL ST STE 400",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033541",
            "telephone_number": "636-669-7006",
            "fax_number": "636-669-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORY",
        "first_name": "AMY",
        "middle_name": "THERESA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2015000840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.