Kelly A Sonntag, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

124457 Issued in MO

Practice address

12277 De Paul Dr Ste 305
Bridgeton, MO 63044-2529

Phone

(314) 344-7585

NPI assigned

May 14, 2007

Sex

Female

Sole proprietor

No

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.

• SSM Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Fenton, MO
  • NPI 1700966207

  MO

  Medicare reassignment Care Compare group NPD
• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Wentzville, MO
  • NPI 1043518350
  Care Compare group
• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bridgeton, MO
  • NPI 1053616110
  Care Compare group
• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Saint Charles, MO
  • NPI 1437573920
  Care Compare group
• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Saint Charles, MO
  • NPI 1447633557
  Care Compare group
• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bridgeton, MO
  • NPI 1477564581
  Care Compare group
• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Troy, MO
  • NPI 1528503133
  Care Compare group
• SSM Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Florissant, MO
  • NPI 1194736116
  Care Compare group
• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Warrenton, MO
  • NPI 1467997155
  NPD
• SSM Depaul Medical Group, Inc.

  • Family Medicine Physician
  • Florissant, MO
  • NPI 1952312951
  NPD (past)
• SSM Health Care St. Louis

  • Emergency Medicine Physician
  • Saint Charles, MO
  • NPI 1427002922
  NPD (past)

Specialty

Nurse Practitioner

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

SSM Medical Group Inc 565 clinicians

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ksonntag33743@direct-ehr-ssmhc.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2020.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1295940906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 955534",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631955534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12277 DE PAUL DR STE 305",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442529",
            "telephone_number": "314-344-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "493 Saint Francois St",
            "address_2": "suite 2",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630315043",
            "country_code": "US",
            "telephone_number": "314-972-9888 x5107",
            "fax_number": "314-972-9880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONNTAG",
        "first_name": "KELLY",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "124457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "12277 De Paul Dr Ste 305",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksonntag33743@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ksonntag33743@direct-ehr-ssmhc.com",
            "address_1": "12277 De Paul Dr Ste 305",
            "city": "Bridgeton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630442529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael J Smoljan, DDS, MS
• Jennifer Snawder, R.D., L.D.
• Karl A Snyder
• Stacy Lynn Snyders, MS CCC-SLP
• Debra E Solom, A.N.P.
• Sound Physicians of Illinois, LLC
• Daniel Zackary Souvannarath
• Tanisha Ashley Spears
• Specialist in Aging Successfully LLC
• Cynthia D. Spence

• All providers in Bridgeton, MO
• Women's Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.