Active NPI
Nicole Lynne Larrison, FNP
- Family Nurse Practitioner
- Warrenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2007020021
- Practice address
- 605 E Booneslick Rd
Warrenton, MO 63383-2127 - Phone
- (636) 456-6103
- Fax
- (636) 456-6124
- NPI assigned
- Apr 11, 2011
- Last updated
- Jan 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2007020021 | MO | Primary |
Addresses
Primary practice location
605 E Booneslick Rd
Warrenton, MO 63383-2127
Mailing address
901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 239-4100
Other names 1
- Nicole Lynne Steffens
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3195 Phoenix Ctr Dr
Washington, MO 63090-5689
Phone (636) 231-3020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007020021 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Multispecialty Group Inc. | Family | Current | Accepting new patients |
| Patients First Health Care LLC | Past | Accepting new patients | |
| Patients First Health Care LLC | Past | Accepting new patients |
Locations
1475 Kisker Rd
Ste 230
Saint Charles, MO 63304
Phone (636) 939-5000
9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827
3195 Phoenix Center Dr
Washington, MO 63090
Phone (636) 231-5623
Interoperability endpoints
- nicole.larrison.p1@direct.essehealth.nextgenshare.com
- nlarrison76811@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Esse Health
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1972559532
Family
-
- Cardiovascular Disease Physician
- Fenton, MO
- NPI 1356581078
-
- Internal Medicine Physician
- Washington, MO
- NPI 1962441386
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Hospital Washington
- General Acute Care Hospital
- Washington, MO
- NPI 1285664177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1326338369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 PATIENTS FIRST DR",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-239-4100",
"fax_number": "636-390-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 E BOONESLICK RD",
"city": "WARRENTON",
"state": "MO",
"postal_code": "633832127",
"telephone_number": "636-456-6103",
"fax_number": "636-456-6124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARRISON",
"first_name": "NICOLE",
"middle_name": "LYNNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-11",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2007020021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "STEFFENS",
"middle_name": "LYNNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Warrenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.