Individual provider Active NPI

Katherine Louise Tesson, FNP-C

  • Family Nurse Practitioner
  • Washington, MO
National Provider Identifier
1205561560
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022026220 Issued in MO
Practice address
901 Patients First Dr Ste 2500
Washington, MO 63090-4700
Phone
(636) 239-2711
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 2022026220 MO Primary

Addresses

Primary practice location

901 Patients First Dr Ste 2500
Washington, MO 63090-4700

Mailing address

901 Patients First Dr Ste 2500
Washington, MO 63090-4700
Phone (636) 239-2711

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
I20220912000876 MO Practitioner - Nurse Practitioner 0446635429 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Heart and Vascular LLCGroup PAC ID 8820016207, 112 clinicians

Practice addresses (Care Compare)

1326 S Service W Rd
Suite 30
Sullivan, MO 63080-2306
Phone (636) 239-2711

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2022026220MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Heart and Vascular, LLC CurrentSince Sep 6, 2022 Accepting new patients
Mercy Clinic East Communities Past Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Past Accepting new patients
Mercy Clinic Urology LLC PastSince Sep 6, 2022 Accepting new patients

Locations

509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045

2680 Gravois Rd
High Ridge, MO 63049
Phone (314) 842-0602

440 Hometown Plaza Dr
Owensville, MO 65066
Phone (573) 437-6100

1605 Martin Springs Dr
Ste 240
Rolla, MO 65401
Phone (417) 869-3200

12200 Weber Hill Rd
Ste 100
Saint Louis, MO 63127
Phone (314) 698-2400

625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775

4280 Mid America Ln
Ste 10
Saint Louis, MO 63129
Phone (314) 692-2807

10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807

1326 S Service Rd W
Ste 30
Sullivan, MO 63080
Phone (314) 543-5999

1326 S Service Rd W
#30
Sullivan, MO 63080
Phone (636) 239-5155

901 Patients First Dr
#2500
Washington, MO 63090

901 Patients First Dr
Ste 2500
Washington, MO 63090

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1205561560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR STE 2500",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-239-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR STE 2500",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-239-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSON",
        "first_name": "KATHERINE",
        "middle_name": "LOUISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022026220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.