Individual provider Active NPI

Kelly Lynn Steinmetz, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1235894502
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F09211029 Issued in MO
Practice address
650 Maryville University Dr
Saint Louis, MO 63141-5849
Phone
(800) 627-9855
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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 F09211029 MO Primary

Addresses

Primary practice location

650 Maryville University Dr
Saint Louis, MO 63141-5849

Mailing address

650 Maryville University Dr
Saint Louis, MO 63141-5849
Phone (800) 627-9855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20220922000941 MA Practitioner - Nurse Practitioner 9436534773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revere Medical of Massachusetts PCGroup PAC ID 0749715795, 113 clinicians

Practice addresses (Care Compare)

822 Boylston St
Suite 102
Chestnut Hill, MA 02467-2504
Phone (617) 396-8866

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F09211029MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Revere Medical of Massachusetts, PC CurrentSince Oct 30, 2024 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2022 Accepting new patients
Steward Medical Group, Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

280 Washington St
Ste 102
Brighton, MA 02135
Phone (617) 562-5359

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

1 Pearl St
Ste 1000
Brockton, MA 02301
Phone (508) 897-6050

822 Boylston St
Ste 102
Chestnut Hill, MA 02467
Phone (617) 396-8866

15 Payson Rd
Ste 3
Foxboro, MA 02035
Phone (508) 772-1438

63 Pleasant St
Watertown, MA 02472
Phone (617) 213-1335

9 Galen St
Ste 155
Watertown, MA 02472
Phone (857) 304-2444

Interoperability endpoints

  • Direct secure messaging: kelly.steinmetz.1@32866.direct.athenahealth.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 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": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1235894502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MARYVILLE UNIVERSITY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415849",
            "telephone_number": "800-627-9855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MARYVILLE UNIVERSITY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631415849",
            "telephone_number": "800-627-9855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINMETZ",
        "first_name": "KELLY",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "F09211029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.