Individual provider Active NPI

Lynelle Lois Hinden, DC, DNP-FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1255464939
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018034591 Issued in MO
Practice address
9417 S Broadway
Saint Louis, MO 63125-2009
Phone
(314) 833-4030
Fax
(314) 833-4031
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 005511 MO
Family Nurse Practitioner 363LF0000X 2018034591 MO Primary

Addresses

Primary practice location

9417 S Broadway
Saint Louis, MO 63125-2009

Mailing address

5501 Delmar Blvd Ste B560
Saint Louis, MO 63112-3084
Phone (314) 833-4030

Other practice location 1

113 W Lockwood Ave
Webster Groves, MO 63119-2915
Phone (314) 962-6015

Other identifiers 4

IdentifierTypeStateIssuer
178251OtherHEALTHLINK HMO PPO
58200OtherGROUP HEALTH PLAN
431505464OtherUNITED HEALTH CARE
7926OtherMOANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111203000067 MO Practitioner - Chiropractic 6709051774 Reassigns benefits to 1 organization
I20190516000146 MO Practitioner - Nurse Practitioner 6709051774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Research and Education in Family MedicineGroup PAC ID 6608833587, 9 clinicians

Practice addresses (Care Compare)

9417 S Broadway
Saint Louis, MO 63125-2009
Phone (314) 833-4030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Research and Education in Family Medicine CurrentSince Apr 25, 2019 Accepting new patients

Locations (25 of 42)

11300 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 739-6811

3415 Bridgeland Dr
Bridgeton, MO 63044

11635 Oakbury Ct
Bridgeton, MO 63044
Phone (314) 213-8012

11280 Saint Charles Rock Rd
Bridgeton, MO 63044

1700 Derhake Rd
Florissant, MO 63033
Phone (314) 989-7600

2905 Rose Acres Ln
Maryland Heights, MO 63043
Phone (314) 213-8017

102 Fee Fee Rd
Maryland Heights, MO 63043
Phone (314) 213-8016

195 Fee Fee Rd
Maryland Heights, MO 63043
Phone (314) 213-8033

2497 Creve Coeur Mill Rd
Maryland Heights, MO 63043
Phone (314) 213-8051

3199 Parkwood Ln
Maryland Heights, MO 63043

2900 Adie Rd
Saint Ann, MO 63074
Phone (314) 213-8100

3721 Saint Bridget Ln
Saint Ann, MO 63074
Phone (314) 213-8419

11055 Saint Charles Rock Rd
Saint Ann, MO 63074
Phone (314) 213-8032

315 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 947-0600

529 Jefferson St
Saint Charles, MO 63301
Phone (636) 946-3771

5183 Raymond Ave
Saint Louis, MO 63113

7401 Florissant Rd
Saint Louis, MO 63121
Phone (314) 261-6011

5501 Delmar Blvd
Ste B560
Saint Louis, MO 63112

12660 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128
Phone (314) 394-1379

818 Cass Ave
Saint Louis, MO 63106
Phone (314) 231-1147

9137 Old Bonhomme Rd
Saint Louis, MO 63132
Phone (314) 997-7002

11022 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 213-8018

2727 N Kingshighway Blvd
Saint Louis, MO 63113
Phone (314) 450-7667

9417 S Broadway
Saint Louis, MO 63125
Phone (314) 544-1300

8850 Cozens Ave
Saint Louis, MO 63136
Phone (314) 653-8012

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1255464939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B560",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123084",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252009",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 W Lockwood Ave",
            "address_purpose": "LOCATION",
            "city": "Webster Groves",
            "state": "MO",
            "postal_code": "631192915",
            "country_code": "US",
            "telephone_number": "314-962-6015",
            "fax_number": "314-962-7874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINDEN",
        "first_name": "LYNELLE",
        "middle_name": "LOIS",
        "name_prefix": "Dr.",
        "credential": "DC, DNP-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "005511",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018034591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK HMO PPO",
            "identifier": "178251",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "58200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "431505464",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "7926",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.