Emmanuelson Chukwuyem, APRN
Individual provider Active NPI Family Nurse Practitioner · Weldon Spring, MO
NPI 1275396376 · NPPES record last updated Sep 26, 2025
Key facts
- NPI
- 1275396376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2024004076 (MO)
- Practice address
- 4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101 - Phone
- (800) 345-5407
- Fax
- (636) 386-5386
- NPI assigned
- Feb 1, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 24
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McPherson Medical and Diagnostic LLC
Theoria Medical
Karefirst Missouri PC
Mercy Clinic Adult Hospitalists Jefferson LLC
Physician Specialists of St Lukes LLC
Missouri HB Medical Services LLC
Midwest Med Care LLC
Practice addresses (Care Compare)
100 N Main St
Gideon, MO 63848-9253
Phone (573) 448-3800
105 Bernard Dr
Belton, MO 64012-6181
Phone (816) 348-8815
1265 McLaran Ave
Saint Louis, MO 63147-1606
Phone (314) 388-4121
1400 US Hwy 61
Festus, MO 63028-4100
Phone (636) 933-8091
232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 434-1500
3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573
Phone (573) 776-9290
4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101
Phone (800) 345-5407
Hospital & facility affiliations
- St Lukes Hospital
- Mercy Hospital Jefferson
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240404002839 | MO | Practitioner - Nurse Practitioner | 9638517071 | Reassigns benefits to 12 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024004076 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karefirst Missouri PC | Current |
Accepting new patients | |
| Physician Specialists of St Lukes LLC | Current |
Accepting new patients | |
| Theoria Medical | Current |
Accepting new patients | |
| Provider Partners Care Management LP | Current |
Accepting new patients | |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Current |
Accepting new patients | |
| Midwest Med Care LLC | Current |
Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current |
Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Current |
Accepting new patients | |
| Theoria Medical | Past | Accepting new patients | |
| Emergency Physicians of St. Luke'S, LLC | Past | Accepting new patients |
Locations
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942
1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111
3002 John Duffy Dr
Joplin, MO 64804
Phone (417) 553-9767
9191 N Ambassador Dr
Kansas City, MO 64154
Phone (816) 491-6190
4301 NE Parvin Rd
North Kansas City, MO 64117
Phone (816) 444-0900
2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966
1265 McLaran Ave
Saint Louis, MO 63147
Phone (314) 388-4121
13230 Manchester Rd
Saint Louis, MO 63131
Phone (314) 480-5259
3403 W Mount Vernon St
Springfield, MO 65802
Phone (417) 864-5600
505 W Evergreen St
Strafford, MO 65757
Phone (417) 736-9332
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
4801 Weldon Spring Pkwy
Weldon Spring, MO 63304
Phone (636) 441-7300
809 W Benton St
Windsor, MO 65360
Phone (660) 467-3102
Interoperability endpoints
- echukwuyem396362@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2024004076 | MO | Yes |
Addresses
Primary practice location
4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101
Mailing address
PO Box 1449
Maryland Heights, MO 63043-0449
Phone (800) 345-5407
Other providers in Weldon Spring, MO
- Todd M Cadell
- Jaimeson Rachel Campbell
- Centerpointe Outpatient Services, LLC
- Allen Philip Chamberlain
- Carrie Lynn Choate
- Compass Health, Inc
- Comprehensive Consulting Services, P.C.
- Core Rehab and Wellness, LLC
- Gerald L Cox
- Joyce Ann Crangle
All providers in Weldon Spring, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.