Active NPI
Stephanie M Meyer, MD
- Family Medicine Physician
- Pacific, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2009001451
- Practice address
- 307 Noonan Dr
Pacific, MO 63069-1136 - Phone
- (636) 271-9100
- Fax
- (636) 257-6016
- NPI assigned
- May 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2009001451 | MO | Primary |
Addresses
Primary practice location
307 Noonan Dr
Pacific, MO 63069-1136
Mailing address
307 Noonan Dr
Pacific, MO 63069-1136
Phone (636) 271-9100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215148341 | Medicaid | MO | |
| P00779628 | Other | MO | RAILROAD MEDICARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Missouri, Kansas City, School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
12200 Weber Hill Rd
Suite 100
Saint Louis, MO 63127-1569
Phone (314) 698-2500
307 Noonan Dr
Pacific, MO 63069-1136
Phone (636) 271-9100
Hospital & facility affiliations
- Mercy Home Health
- Mercy Hospice
- Mercy Hospital Washington
- Mercy Hospital St Louis
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009001451 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Hospitals East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Ozarks Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1203 Smizer Mill Rd
Ste 105
Fenton, MO 63026
Phone (636) 717-1350
307 Noonan Dr
Pacific, MO 63069
Phone (636) 271-9100
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
12200 Weber Hill Rd
Ste 100
Saint Louis, MO 63127
Phone (314) 698-2400
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
901 E 5th St
Washington, MO 63090
Phone (636) 239-8000
851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101
Interoperability endpoints
- smeyer1974@directc.mercy.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
Family Medicine
-
- Multi-Specialty Clinic/Center
- Wildwood, MO
- NPI 1164857397
Family Medicine
-
- Rural Health Clinic/Center
- Washington, MO
- NPI 1104912997
Family Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1154407112
-
- Community Based Hospice Care Agency
- Saint Louis, MO
- NPI 1487739033
-
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1215148341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 NOONAN DR",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630691136",
"telephone_number": "636-271-9100",
"fax_number": "636-257-6016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 NOONAN DR",
"city": "PACIFIC",
"state": "MO",
"postal_code": "630691136",
"telephone_number": "636-271-9100",
"fax_number": "636-257-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "STEPHANIE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2009001451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215148341",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00779628",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pacific, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; 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.