Active NPI
Nicole D. Hellweg, PA-C, MPAS
- Physical Medicine & Rehabilitation Physician
- Saint Louis, MO
National Provider Identifier
1306401559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 2020025034
- Practice address
- 8225 Clayton Rd
Saint Louis, MO 63117-1107 - Phone
- (314) 330-4776
- NPI assigned
- May 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 9112173 | FL | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 2020025034 | MO | Primary |
Addresses
Primary practice location
8225 Clayton Rd
Saint Louis, MO 63117-1107
Mailing address
8225 Clayton Rd
Saint Louis, MO 63117-1107
Phone (314) 330-4776
Other names 1
- Nicole D. Ursch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020025034 | MO | MD | Physical Medicine & Rehabilitation Physician |
| 9112173 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Single Specialty | Past | Accepting new patients |
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": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641600000000",
"number": "1306401559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8225 CLAYTON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171107",
"telephone_number": "314-330-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8225 CLAYTON RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171107",
"telephone_number": "314-330-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLWEG",
"first_name": "NICOLE",
"middle_name": "D.",
"credential": "PA-C, MPAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-02",
"last_updated": "2022-01-08",
"certification_date": "2022-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "9112173",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2020025034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "URSCH",
"middle_name": "D.",
"credential": "PA-C, MPAS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.