Individual provider Active NPI

Abigail Lipsitz, AGPCNP-C

  • Primary Care Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1306407903
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2019007755 Issued in MO
Practice address
253 Chesterfield Industrial Blvd
Chesterfield, MO 63005-1201
Phone
(636) 735-3577
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 2019007755 MO
Primary Care Nurse Practitioner 363LP2300X 2019007755 MO Primary

Addresses

Primary practice location

253 Chesterfield Industrial Blvd
Chesterfield, MO 63005-1201

Mailing address

253 Chesterfield Industrial Blvd
Chesterfield, MO 63005-1201
Phone (636) 735-3577

Other practice location 1

18 Grandview Plaza Shopping Ctr
Florissant, MO 63033-6105
Phone (314) 627-1411

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

State licenses

LicenseStateTypeSpecialty
2019007755MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
P.R.I.M.E. Health Centers - Florissant LLC Past Accepting new patients
P.R.I.M.E. Health Centers - Chesterfield, LLC Past Accepting new patients
Prime Health Centers LLC Past Accepting new patients
St. Louis Surgical Group, LLC PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 4

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1306407903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 CHESTERFIELD INDUSTRIAL BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051201",
            "telephone_number": "636-735-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 CHESTERFIELD INDUSTRIAL BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051201",
            "telephone_number": "636-735-3577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Grandview Plaza Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630336105",
            "country_code": "US",
            "telephone_number": "314-627-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIPSITZ",
        "first_name": "ABIGAIL",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2019007755",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2019007755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.