Individual provider Active NPI

Donald Osmack

  • Family Nurse Practitioner
  • Barnhart, MO
National Provider Identifier
1376889410
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012032344 Issued in MO
Practice address
1718 Catlin Dr
Barnhart, MO 63012-1277
Phone
(866) 825-3227
NPI assigned
Dec 18, 2012
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2012032344 MO Primary

Addresses

Primary practice location

1718 Catlin Dr
Barnhart, MO 63012-1277

Mailing address

161 Washington St
Eight Tower Suite 1400
Conshohocken, PA 19428-2083

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
I20130221000153 MO Practitioner - Nurse Practitioner 5991950016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of St Lukes LLCGroup PAC ID 3779714142, 63 clinicians

Practice addresses (Care Compare)

11550 Olive Blvd
Saint Louis, MO 63141-7111
Phone (314) 542-7690

12304 Manchester Rd
Des Peres, MO 63131-4315
Phone (314) 965-6871

17421 Chesterfield Airport Rd
Chesterfield, MO 63005-1308
Phone (636) 685-7720

232 S Woods Mell Rd
Chesterfield, MO 63017-3417

233 Clarkson Rd
Ellisville, MO 63011-2219
Phone (636) 256-8644

8857 Ladue Rd a
Saint Louis, MO 63124-2045
Phone (314) 576-8189

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of St. Luke's, LLC CurrentSince Mar 1, 2014 Accepting new patients
Physician Specialists of St Lukes LLC Past Accepting new patients
Take Care Health Missouri, PC Family Past Accepting new patients

Locations

17421 Chesterfield Airport Rd
Chesterfield, MO 63005
Phone (636) 685-7720

12304 Manchester Rd
Des Peres, MO 63131
Phone (314) 965-6871

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

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.

Hospital & facility affiliations 1

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": "1355788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1376889410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WASHINGTON ST",
            "address_2": "EIGHT TOWER SUITE 1400",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194282083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 CATLIN DR",
            "city": "BARNHART",
            "state": "MO",
            "postal_code": "630121277",
            "telephone_number": "866-825-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMACK",
        "first_name": "DONALD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012032344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnhart, MO

Sources for this page

Verify at the official NPI Registry.