Individual provider Active NPI

Sara M Koenig, WHNP

  • Women's Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1336478007
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2009034348 Issued in MO
Practice address
621 S New Ballas Rd Ste 4017B
Saint Louis, MO 63141-8269
Phone
(314) 872-9192
Fax
(314) 872-4234
NPI assigned
Dec 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2009034348 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 4017B
Saint Louis, MO 63141-8269

Mailing address

621 S New Ballas Rd Ste 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

Other practice location 1

8860 LaDue Rd Ste 100
Saint Louis, MO 63124-2068
Phone (314) 872-9192

Other practice location 2

755 Dunn Rd Ste 130
Hazelwood, MO 63042-1751
Phone (314) 872-9192

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
I20100519000078 MO Practitioner - Nurse Practitioner 3870622517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Jul 9, 2018 Accepting new patients

Locations

755 Dunn Rd
Ste 130
Hazelwood, MO 63042
Phone (314) 731-4600

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

8860 Ladue Rd
Ste 100
Saint Louis, MO 63124
Phone (314) 802-3915

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1336478007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 4017B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418269",
            "telephone_number": "314-872-9192",
            "fax_number": "314-872-4234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 4017B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418269",
            "telephone_number": "314-872-9192",
            "fax_number": "314-872-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8860 LaDue Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631242068",
            "country_code": "US",
            "telephone_number": "314-872-9192",
            "fax_number": "314-251-4234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "755 Dunn Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Hazelwood",
            "state": "MO",
            "postal_code": "630421751",
            "country_code": "US",
            "telephone_number": "314-872-9192",
            "fax_number": "314-251-4234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "SARA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2009034348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.