NPIMap

Individual provider Active NPI

Nancy Jane Niemann Royer, MD

  • Emergency Medicine Physician
  • O'Fallon, MO
National Provider Identifier
1326094145
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R9E46 Issued in MO
Practice address
2 Progress Point Parkway
Progress West Health Care Center Attn ER
O Fallon, MO 63368
Phone
(636) 344-1151
Fax
(636) 344-1176
NPI assigned
May 25, 2006
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R9E46 MO Primary

Addresses

Primary practice location

2 Progress Point Parkway
Progress West Health Care Center Attn ER
O Fallon, MO 63368

Mailing address

2 Progress Point Parkway
Progress West Health Care Center Attn ER
O Fallon, MO 63368
Phone (636) 344-1151

Other identifiers 1

IdentifierTypeStateIssuer
207810318MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/DSTU2/ Progress West HealthCare Center

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070423000139 MO Practitioner - Internal MedicinePractitioner - Emergency Medicine 8527163419 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Aug 23, 2014 Accepting new patients
BC Progress Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Tenet Healthsystem Di, Inc. Past Accepting new patients
Integra Physicians Urgent Care Centers, LLC Past Accepting new patients

Locations

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

2 Progress Point Pkwy
O Fallon, MO 63368
Phone (636) 344-1000

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1326094145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PROGRESS POINT PARKWAY",
            "address_2": "PROGRESS WEST HEALTH CARE CENTER ATTN ER",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-344-1151",
            "fax_number": "636-344-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PROGRESS POINT PARKWAY",
            "address_2": "PROGRESS WEST HEALTH CARE CENTER ATTN ER",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "63368",
            "telephone_number": "636-344-1151",
            "fax_number": "636-344-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIEMANN ROYER",
        "first_name": "NANCY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R9E46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207810318",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Progress West HealthCare Center",
            "address_1": "2 Progress Point Parkway",
            "address_2": "Progress West Health Care Center Attn ER",
            "city": "O Fallon",
            "state": "MO",
            "country_code": "US",
            "postal_code": "63368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.