Individual provider Active NPI

Gwen C Pead, NP

  • Family Nurse Practitioner
  • Independence, MO
National Provider Identifier
1316303993
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014032347 Issued in MO
Practice address
3825 S Noland Rd
Independence, MO 64055-3344
Phone
(866) 389-2727
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95035302 CA
Family Nurse Practitioner 363LF0000X 12610 MN
Family Nurse Practitioner 363LF0000X 71016811A IN
Family Nurse Practitioner 363LF0000X 243022 LA
Family Nurse Practitioner 363LF0000X A004700 AR
Family Nurse Practitioner 363LF0000X 1214124 TX
Family Nurse Practitioner 363LF0000X 231706 AK
Family Nurse Practitioner 363LF0000X 209031731 IL
Family Nurse Practitioner 363LF0000X 9271364 ID
Family Nurse Practitioner 363LF0000X 2014032347 MO Primary
Family Nurse Practitioner 363LF0000X C-APN.0104333-C-NP CO
Family Nurse Practitioner 363LF0000X 4704431550 MI
Family Nurse Practitioner 363LF0000X APRN-4976 HI
Family Nurse Practitioner 363LF0000X A184454 IA
Family Nurse Practitioner 363LF0000X 323364 AZ

Addresses

Primary practice location

3825 S Noland Rd
Independence, MO 64055-3344

Mailing address

PO Box 505673
Saint Louis, MO 63150-5673

Other practice location 1

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7128

Other names 1

  • Gwen Cheryl Eastep Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, NM, HI, UT, IL, MN, NE, MI, IN, TX10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20160512001630 MO Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 3 organizations
I20250219002904 NM Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 1 organization
I20250421002735 HI Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 1 organization
I20250422000094 UT Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 1 organization
I20250424001963 IL Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 2 organizations
I20250424002225 MN Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 1 organization
I20250814004196 NE Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 1 organization
I20250814004479 MI Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 1 organization
I20250814004668 IN Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 1 organization
I20251107001586 TX Practitioner - Nurse Practitioner 9830498757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of Kansas PAGroup PAC ID 7416043807, 139 clinicians
Minuteclinic Diagnostic of Minnesota PAGroup PAC ID 7810289949, 83 clinicians

Practice addresses (Care Compare)

13852 US Hwy 160
Forsyth, MO 65653-5156
Phone (417) 546-3500

3825 S Noland Rd
Independence, MO 64055-3344
Phone (866) 389-2727

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235
Phone (866) 389-2727

525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (417) 335-7128

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
231706AKMDFamily Nurse Practitioner
A004700ARMDFamily Nurse Practitioner
95035302CAMDFamily Nurse Practitioner
C-APN.0104333-C-NPCOMDFamily Nurse Practitioner
A184454IAMDFamily Nurse Practitioner
9271364IDMDFamily Nurse Practitioner
243022LAMDFamily Nurse Practitioner
4704431550MIMDFamily Nurse Practitioner
1214124TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of New Mexico, LLC Family CurrentSince Jan 14, 2025 Accepting new patients
Minuteclinic Diagnostic of Utah, LLC Family CurrentSince Mar 11, 2025 Accepting new patients
Skaggs Community Hospital Association Current Accepting new patients
Minuteclinic Diagnostic of Nebraska, LLC Family CurrentSince Aug 5, 2025 Accepting new patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Apr 22, 2025 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Apr 22, 2025 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Oct 27, 2025 Accepting new patients
Skaggs Community Hospital Association CurrentSince Oct 9, 2022 Accepting new patients
Minuteclinic Diagnostic of Kansas PA Family CurrentSince Jan 7, 2025 Accepting new patients
Minuteclinic Diagnostic of Minnesota, P.a. Family CurrentSince Apr 22, 2025 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince Aug 5, 2025 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Aug 5, 2025 Accepting new patients
Minuteclinic Diagnostic of Hawaii, L.L.C. Family CurrentSince Mar 11, 2025 Accepting new patients
Lester E Cox Medical Centers Current Accepting new patients
Ozarks Medical Center Past Accepting new patients
Skaggs Community Hospital Association Past Accepting new patients

Locations

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4500

45-480 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 235-0885

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

4241 Johnny Cake Ridge Rd
Eagan, MN 55122
Phone (651) 688-7041

1500 109th Ave NE
Minneapolis, MN 55449
Phone (763) 354-1000

525 Branson Landing Blvd
Ste 307
Branson, MO 65616
Phone (417) 335-7736

3825 S Noland Rd
Independence, MO 64055
Phone (816) 254-6002

3800 S National Ave
Ste 510
Springfield, MO 65807
Phone (417) 875-3114

3800 S National Ave
Ste 400
Springfield, MO 65807
Phone (417) 269-9482

3801 S National Ave
Springfield, MO 65807
Phone (417) 269-4056

3801 S National Ave
Ste 1122
Springfield, MO 65807

3801 S National Ave
Fl 5
Springfield, MO 65807

8021 Watson Rd
Webster Groves, MO 63119
Phone (314) 963-0398

6901 S 84th St
Lavista, NE 68128
Phone (402) 339-1090

5566 S 56th St
Lincoln, NE 68516
Phone (402) 423-3839

7002 O St
Lincoln, NE 68510
Phone (402) 467-5342

9640 Menaul Blvd NE
Albuquerque, NM 87112
Phone (505) 294-4167

4340 San Mateo Blvd NE
Albuquerque, NM 87110
Phone (505) 252-0599

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

7777 S Redwood Rd
West Jordan, UT 84084
Phone (801) 255-9077

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1316303993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505673",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631505673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 S NOLAND RD",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640553344",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Branson Landing Blvd",
            "address_purpose": "LOCATION",
            "city": "Branson",
            "state": "MO",
            "postal_code": "656162052",
            "country_code": "US",
            "telephone_number": "417-335-7128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEAD",
        "first_name": "GWEN",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95035302",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "12610",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016811A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "243022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004700",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1214124",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "231706",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209031731",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "9271364",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014032347",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0104333-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704431550",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "APRN-4976",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A184454",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "323364",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GWEN",
            "last_name": "EASTEP",
            "middle_name": "CHERYL",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.