Individual provider Active NPI

Stephanie Faulkingham, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1285508184
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025040263 Issued in MO
Practice address
1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366
Phone
(314) 985-8035
NPI assigned
Oct 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025040263 MO Primary

Addresses

Primary practice location

1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366

Mailing address

1040 N Mason Rd Ste 201
Saint Louis, MO 63141-6366
Phone (314) 985-8035

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201002177 MO Practitioner - Nurse Practitioner 2860985645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri St Louis - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Seraji MD LLCGroup PAC ID 9032339205, 3 clinicians

Practice addresses (Care Compare)

1040 N Mason Rd
Suite 201
Saint Louis, MO 63141-6366
Phone (314) 985-8035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025040263MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Seraji MD LLC CurrentSince Nov 3, 2025 Accepting new patients

Locations

1040 N Mason Rd
Ste 201
Saint Louis, MO 63141
Phone (314) 985-8034

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": "1759363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1285508184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416366",
            "telephone_number": "314-985-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N MASON RD STE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416366",
            "telephone_number": "314-985-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKINGHAM",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-02",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2025040263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.