Active NPI
Rachel Wilkinson, FNP
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017035852
- Practice address
- 2108 Schuetz Rd
Saint Louis, MO 63146-3538 - Phone
- (314) 625-8454
- NPI assigned
- Sep 7, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2006025924 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2017035852 | MO | Primary |
Addresses
Primary practice location
2108 Schuetz Rd
Saint Louis, MO 63146-3538
Mailing address
11605 Studt Ave
Ste 120
Saint Louis, MO 63141-7052
Phone (314) 625-8454
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2017035852 | Other | MO | MISSOURI STATE BOARD OF NURSING |
| F09171434 | Other | MO | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
| 1326595231 | Other | MO | FAMILY NURSE PRACTITIONER |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13131 Tesson Ferry Rd
Suite 105
Saint Louis, MO 63128-3887
Phone (314) 756-8035
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006025924 | MO | MD | Registered Nurse |
| 2017035852 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care Group | Current | Accepting new patients | |
| Millennium Pain Management, LLC | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| Medical Care LLC | Past | Accepting new patients |
Locations
13131 Tesson Ferry Rd
Ste 105
Saint Louis, MO 63128
Phone (314) 756-8035
3635 Vista Ave
Saint Louis, MO 63110
Phone (314) 577-8022
10101 Woodfield Ln
Saint Louis, MO 63132
Phone (608) 280-4647
112 Piper Hill Dr
Ste 1
Saint Peters, MO 63376
Phone 6364413444 ext. 352
112 Piper Hill Dr
Ste 6
Saint Peters, MO 63376
Phone (636) 229-5900
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHHECA
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.
-
- Interventional Pain Medicine Physician
- Saint Louis, MO
- NPI 1942470687
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Health Service Clinic/Center
- Florissant, MO
- NPI 1609481696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565222400000",
"number": "1326595281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11605 STUDT AVE",
"address_2": "STE 120",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631417052",
"telephone_number": "314-625-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 SCHUETZ RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631463538",
"telephone_number": "314-625-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKINSON",
"first_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2019-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2006025924",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017035852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI STATE BOARD OF NURSING",
"identifier": "2017035852",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
"identifier": "F09171434",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMILY NURSE PRACTITIONER",
"identifier": "1326595231",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.