Individual provider Active NPI

Patrick Alan Behnke, NP

  • Adult Health Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1417490772
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2016041026 Issued in MO
Practice address
100 Chesterfield Business Pkwy Ste 110
Chesterfield, MO 63005-1271
Phone
(636) 532-0990
Fax
(636) 532-0993
NPI assigned
Nov 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2016041026 MO Primary

Addresses

Primary practice location

100 Chesterfield Business Pkwy Ste 110
Chesterfield, MO 63005-1271

Mailing address

100 Chesterfield Business Pkwy Ste 110
Chesterfield, MO 63005-1271
Phone (636) 532-0990

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
I20171010000746 MO Practitioner - Nurse Practitioner 1557636040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Dermatology LLCGroup PAC ID 7517197247, 6 clinicians

Practice addresses (Care Compare)

1011 Bowles Ave
Suite 121
Fenton, MO 63026-2387
Phone (314) 200-2713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
2016041026MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Dermatology LLC CurrentSince Sep 11, 2021 Accepting new patients
West County Rheumatology, LLC CurrentSince May 11, 2020 Accepting new patients
American Arthritis & Rheumatology Associates - Mo LLC Past Accepting new patients

Locations

100 Chesterfield Business Pkwy
Ste 110
Chesterfield, MO 63005
Phone (636) 532-0990

1011 Bowles Ave
Ste 121
Fenton, MO 63026
Phone (314) 200-2713

856 Waterbury Falls Dr
Ste 100
O Fallon, MO 63368
Phone (636) 244-5004

13100 Manchester Rd
Ste 85
Saint Louis, MO 63131
Phone (314) 983-9898

13100 Manchester Rd
Ste 70
Saint Louis, MO 63131
Phone (314) 492-2323

Interoperability endpoints

  • Direct secure messaging: pbehnke@jeffpetersen.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1417490772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "636-532-0990",
            "fax_number": "636-532-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTERFIELD BUSINESS PKWY STE 110",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051271",
            "telephone_number": "636-532-0990",
            "fax_number": "636-532-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNKE",
        "first_name": "PATRICK",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-18",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2016041026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.