Individual provider Active NPI

Angela Mehler

  • Family Nurse Practitioner
  • Union, MO
National Provider Identifier
1316362833
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014005147 Issued in MO
Practice address
935 Prairie Dell Road
Suite 500
Union, MO 63084
Phone
(636) 649-3080
Fax
(636) 649-3081
NPI assigned
Feb 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014005147 MO Primary

Addresses

Primary practice location

935 Prairie Dell Road
Suite 500
Union, MO 63084

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (636) 649-3080

Other practice location 1

10649 State Highway A
Richwoods, MO 63071-2558
Phone (573) 678-2444

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
I20170117001174 MO Practitioner - Nurse Practitioner 5395034375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, shared by 6 NPIs, 573 clinicians

Practice addresses (Care Compare)

1935 Prairie Dell Rd
Suite 500
Union, MO 63084-4329
Phone (636) 583-2508

851 E 5TH St
Washington, MO 63090-3130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014005147MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Family Current Accepting new patients
Mercy Clinic East Communities CurrentSince Dec 5, 2016 Accepting new patients
Jesse Dwayne Helton Past Accepting new patients

Locations

1400 US Highway 61
Ste 250
Crystal Cty, MO 63028
Phone (636) 543-2420

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

621 S New Ballas Rd
Ste 6017B
Saint Louis, MO 63141
Phone (314) 251-4652

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

1326 S Service Rd W
Ste 30
Sullivan, MO 63080
Phone (314) 543-5999

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

Interoperability endpoints

  • Direct secure messaging: amehler774361@directc.mercy.net

Organizations & group practices 3

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": "1392854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1316362833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "636-649-3080",
            "fax_number": "636-649-3081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 PRAIRIE DELL ROAD",
            "address_2": "SUITE 500",
            "city": "UNION",
            "state": "MO",
            "postal_code": "63084",
            "telephone_number": "636-649-3080",
            "fax_number": "636-649-3081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10649 State Highway A",
            "address_purpose": "LOCATION",
            "city": "Richwoods",
            "state": "MO",
            "postal_code": "630712558",
            "country_code": "US",
            "telephone_number": "573-678-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHLER",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-20",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014005147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, MO

Sources for this page

Verify at the official NPI Registry.