Individual provider Active NPI

Rachel Louise Closser, FNP-C

  • Family Nurse Practitioner
  • Lake St Louis, MO
National Provider Identifier
1205411535
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021009748 Issued in MO
Practice address
13203 Big River Dr
Lake St Louis, MO 63367-1983
Phone
(573) 639-9219
NPI assigned
Mar 17, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021009748 MO Primary
Registered Nurse 163W00000X 2012016633 MO
Registered Nurse 163W00000X 041403271 IL

Addresses

Primary practice location

13203 Big River Dr
Lake St Louis, MO 63367-1983

Mailing address

13203 Big River Dr
Lake St Louis, MO 63367-1983
Phone (573) 639-9219

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rclosser185792@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

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
I20210520000923 MO Practitioner - Nurse Practitioner 5395144513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Vascular Surgical Specialists PCGroup PAC ID 9739548991, 4 clinicians

Practice addresses (Care Compare)

1028 S Kirkwood Rd
Kirkwood, MO 63122-7222

2865 Netherton Dr
Saint Louis, MO 63136-4674
Phone (314) 755-1084

5139 Mattis Rd
Suite 100
Saint Louis, MO 63128-2250
Phone (314) 207-8939

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041403271ILMDRegistered Nurse
2012016633MOMDRegistered Nurse
2021009748MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group Inc. CurrentSince Jun 1, 2021 Accepting new patients
St. Louis Vascular Surgical Specialists PC CurrentSince Aug 1, 2023 Accepting new patients
SSM Medical Group, Inc. CurrentSince Jun 1, 2021 Accepting new patients

Locations

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

12277 De Paul Dr
Ste 305
Bridgeton, MO 63044
Phone (314) 291-3399

1028 S Kirkwood Rd
Ste B
Kirkwood, MO 63122
Phone (314) 394-2930

1901 Hrc Plaza Dr
Lake St Louis, MO 63367
Phone (314) 377-7669

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

2865 Netherton Dr
Saint Louis, MO 63136
Phone (314) 653-0918

5139 Mattis Rd
Ste 100
Saint Louis, MO 63128
Phone (314) 729-9780

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EECCDD
  • Direct secure messaging: rclosser185792@direct-ehr-ssmhc.com

Organizations & group practices 3

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.

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": "1615939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1205411535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 BIG RIVER DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671983",
            "telephone_number": "573-639-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 BIG RIVER DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671983",
            "telephone_number": "573-639-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOSSER",
        "first_name": "RACHEL",
        "middle_name": "LOUISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021009748",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012016633",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041403271",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rclosser185792@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "rclosser185792@direct-ehr-ssmhc.com",
            "address_1": "12266 DePaul Dr",
            "address_2": "Suite 305",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR-API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "12266 DePaul Dr",
            "address_2": "Suite 305",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

Verify at the official NPI Registry.