Individual provider Active NPI

Rachel Wilkinson, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1326595281
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017035852 Issued in MO
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

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2017035852OtherMOMISSOURI STATE BOARD OF NURSING
F09171434OtherMOAMERICAN ACADEMY OF NURSE PRACTITIONERS
1326595231OtherMOFAMILY 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109000666 MO Practitioner - Nurse Practitioner 1658637558 Reassigns benefits to 2 organizations

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
Millennium Pain Management, LLCGroup PAC ID 0244303774, 4 clinicians

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

LicenseStateTypeSpecialty
2006025924MOMDRegistered Nurse
2017035852MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care Group CurrentSince Jul 1, 2022 Accepting new patients
Millennium Pain Management, LLC CurrentSince Oct 24, 2022 Accepting new patients
SSM Health Care Group CurrentSince Jul 1, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.