Individual provider Active NPI

Carla Moore Beckerle, ANP

  • Nurse Practitioner
  • Hazelwood, MO
National Provider Identifier
1457458234
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
072603 Issued in MO
Practice address
637 Dunn Rd Ste 170
Hazelwood, MO 63042-1759
Phone
(314) 838-5702
Fax
(314) 839-5596
NPI assigned
Sep 20, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209017488 IL
Nurse Practitioner 363L00000X 072603 MO Primary

Addresses

Primary practice location

637 Dunn Rd Ste 170
Hazelwood, MO 63042-1759

Mailing address

PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 851-1000

Other identifiers 1

IdentifierTypeStateIssuer
427553102MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051228000011 MO Practitioner - Nurse Practitioner 6608898101 Reassigns benefits to 1 organization
I20190319001340 IL Practitioner - Nurse Practitioner 6608898101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
English and McLaughlin, PCGroup PAC ID 7618350448, 10 clinicians
American Multispecialty Group IncGroup PAC ID 1658365572, 118 clinicians

Practice addresses (Care Compare)

1167 Fortune Blvd
Shiloh, IL 62269-7377
Phone (618) 207-6900

1585 Woodlake Dr
Chesterfield, MO 63017-5740
Phone (314) 434-4278

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
English and McLaughlin, P.C. Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Washington University Past Accepting new patients
North County Emergency Physicians, LLP Nurse Practitioner Past Accepting new patients
Esse Health Heal at Home LLC PastSince Nov 21, 2023 Accepting new patients

Locations

1167 Fortune Blvd
Shiloh, IL 62269
Phone (618) 207-6900

4 Park Pl
Swansea, IL 62226
Phone (618) 277-7500

12655 Olive Blvd
Fl 4
Saint Louis, MO 63141

12655 Olive Blvd
Ste 400
Saint Louis, MO 63141
Phone (314) 851-1075

Interoperability endpoints

  • Direct secure messaging: carla.moorebeckerle.p1@direct.essehealth.nextgenshare.com
  • Direct secure messaging: carla.moorebeckerle.p2@direct.essehealth.nextgenshare.com
  • Direct secure messaging: carla.moorebeckerle.p3@direct.essehealth.nextgenshare.com

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1457458234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-851-1000",
            "fax_number": "314-851-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 DUNN RD STE 170",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421759",
            "telephone_number": "314-838-5702",
            "fax_number": "314-839-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE BECKERLE",
        "first_name": "CARLA",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209017488",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "072603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "427553102",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazelwood, MO

Sources for this page

Verify at the official NPI Registry.