Active NPI
Dawn M Forbes, FNP
- Family Nurse Practitioner
- Ellisville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011034134
- Practice address
- 233 Clarkson Rd
Ellisville, MO 63011-2219 - Phone
- (636) 256-8644
- Fax
- (636) 230-9796
- NPI assigned
- Oct 31, 2011
- Last updated
- Oct 31, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2011034134 | MO | Primary |
Addresses
Primary practice location
233 Clarkson Rd
Ellisville, MO 63011-2219
Mailing address
233 Clarkson Rd
Ellisville, MO 63011-2219
Phone (636) 256-8644
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
103 Hilltop TRL
Eureka, MO 63025-3172
Phone (636) 587-6350
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
2325 Dougherty Ferry Rd
Suite 104
Saint Louis, MO 63122-3356
Phone (314) 821-6889
233 Clarkson Rd
Ellisville, MO 63011-2219
Phone (636) 256-8644
5551 Winghaven Blvd
100 Winghaven UC Center
O Fallon, MO 63368-3618
Phone (636) 695-2500
832 Arnold Commons Dr
Arnold, MO 63010-2164
Phone (636) 685-7899
8857 Ladue Rd a
Saint Louis, MO 63124-2045
Phone (314) 576-8189
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011034134 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy East Ambulatory Services LLC | Current | Accepting new patients | |
| Family Medicine - SLMG South, LLC | Current | Accepting new patients | |
| Emergency Physicians of St. Luke's, LLC | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Premier Medical Physicians LLC | Current | Accepting new patients | |
| St. Lukes Medical Group | Past | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278
12304 Manchester Rd
Des Peres, MO 63131
Phone (314) 965-6871
233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
774 Gravois Bluffs Blvd
Ste A
Fenton, MO 63026
Phone (636) 343-5223
1501 Professional Dr
Imperial, MO 63052
Phone (636) 464-4000
409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764
5551 Winghaven Blvd
Ste 100
O Fallon, MO 63368
Phone (636) 695-2500
10700 Manchester Rd
Ste E
Saint Louis, MO 63122
Phone (314) 428-9541
11445 Olive Blvd
Saint Louis, MO 63141
Phone (314) 428-9543
2325 Dougherty Ferry Rd
Ste 104
Saint Louis, MO 63122
Phone (314) 821-6889
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777
1051 Wolfrum Rd
Weldon Spring, MO 63304
Phone (636) 300-0370
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
-
- Family Medicine Physician
- Imperial, MO
- NPI 1164077822
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1417459207
-
dba Mercy-GoHealth Urgent Care
- Urgent Care Clinic/Center
- Chesterfield, MO
- NPI 1134673148
-
dba SSM Health St Clare Fenton
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
dba SSM Health DePaul Hospital
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
-
- Family Medicine Physician
- Chesterfield, MO
- NPI 1215308945
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Luke's Hospital
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1457637811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 CLARKSON RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112219",
"telephone_number": "636-256-8644",
"fax_number": "636-230-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 CLARKSON RD",
"city": "ELLISVILLE",
"state": "MO",
"postal_code": "630112219",
"telephone_number": "636-256-8644",
"fax_number": "636-230-9796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORBES",
"first_name": "DAWN",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2011034134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellisville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.