Deborah Ann Harrell, MSN,APRN FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F0813261 Issued in MO

Practice address

105 Creekside Office Dr
Wentzville, MO 63385-3289

Phone

(636) 639-6262

NPI assigned

Oct 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ria Medical LLCGroup PAC ID 6608834395, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Premiere Home Health Home health agency, Saint Charles, MO, CCN 267612
• Elite Home Health Home health agency, Creve Coeur, MO, CCN 267603
• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
• SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24426/brand/1/csg/1/fhir/r4
• Direct secure messaging: deborah.harrell.1@24426.direct.athenahealth.com

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.

• Ria Medical, LLC

  • Internal Medicine Physician
  • Wentzville, MO
  • NPI 1174615025

  MO

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Four Roses LLC

  • Home Health Agency
  • Saint Charles, MO
  • NPI 1265621700
  Care Compare affiliation
• Innovative Senior Care Home Health of St Louis LLC

  • Home Health Agency
  • Creve Coeur, MO
  • NPI 1952546988
  Care Compare affiliation
• SSM Health Care St. Louis

  • General Acute Care Hospital
  • Lake St Louis, MO
  • NPI 1871665380

  Hospital

  Care Compare affiliation
• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810

  Hospital

  Care Compare affiliation
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1275960254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CREEKSIDE OFFICE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853289",
            "telephone_number": "636-639-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CREEKSIDE OFFICE DR",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853289",
            "telephone_number": "636-639-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "DEBORAH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSN,APRN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-04",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2013030779",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "F0813261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275960254",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Michelle Hagedorn
• Heather N Hager
• Jessica Marie Haines
• Whitney Elizabeth Hamed, DC
• Frank Sam Harper, MS., LMHC, LPC
• Harris Westplex Taxi & Personal Transport
• Samantha Hartnett
• Maghen Hartshorne, DC
• Jackie Lee Hasse, PTA
• Christina Lyn Hatfield, RN

• All providers in Wentzville, MO
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.

Verify at the official NPI Registry.