Individual provider Active NPI

Dena L Williams, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Bridgeton, MO
National Provider Identifier
1417648825
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.027455 Issued in IL
Practice address
11280 Saint Charles Rock Rd
Bridgeton, MO 63044-2719
Phone
(314) 833-4030
Fax
(314) 833-4031
NPI assigned
May 17, 2023
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 209.027455 IL Primary

Addresses

Primary practice location

11280 Saint Charles Rock Rd
Bridgeton, MO 63044-2719

Mailing address

5501 Delmar Blvd Ste B560
Saint Louis, MO 63112-3084
Phone (314) 833-4030

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
I20240208000927 MO Practitioner - Nurse Practitioner 7618334830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Institute for Research and Education in Family MedicineGroup PAC ID 6608833587, 9 clinicians

Practice addresses (Care Compare)

9417 S Broadway
Saint Louis, MO 63125-2009
Phone (314) 833-4030

Merit-based Incentive Payment System (MIPS)

Final score
82.36 of 100Reported as group
Quality
67.25
Promoting interoperability
100
Improvement activities
40
Cost
68.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.027455ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Research and Education in Family Medicine CurrentSince Jan 25, 2024 Accepting new patients
Christian Hospital Physician Billing Services LLC Past Accepting new patients

Locations

11280 Saint Charles Rock Rd
Bridgeton, MO 63044

2446 Schuetz Rd
Maryland Heights, MO 63043
Phone (314) 669-0040

1000 N 19th St
Saint Louis, MO 63106

11037 Breezy Point Ln
Saint Louis, MO 63136
Phone (314) 953-8041

12660 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128
Phone (314) 394-1379

13201 Clayton Rd
Saint Louis, MO 63131
Phone (314) 434-2100

200 Church St
Saint Louis, MO 63135
Phone (314) 824-2043

2760 Union Rd
Saint Louis, MO 63125

3300 S Jefferson Ave
Saint Louis, MO 63118

5501 Delmar Blvd
Ste B560
Saint Louis, MO 63112

9417 S Broadway
Saint Louis, MO 63125
Phone (314) 544-1300

530 E Lockwood Ave
Webster Groves, MO 63119

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1417648825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B560",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123084",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11280 SAINT CHARLES ROCK RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442719",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DENA",
        "middle_name": "L",
        "credential": "MSN, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.027455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

Verify at the official NPI Registry.