Individual provider Active NPI

Cheri M Carmody, RN BC ANP

  • Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1467453134
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
146843 Issued in MO
Practice address
17298 N Outer 40 Rd Ste 200
Chesterfield, MO 63005-1456
Phone
(314) 529-4900
Fax
(314) 434-2679
NPI assigned
Aug 3, 2005
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 146843 MO Primary

Addresses

Primary practice location

17298 N Outer 40 Rd Ste 200
Chesterfield, MO 63005-1456

Mailing address

17298 N Outer 40 Rd Ste 200
Chesterfield, MO 63005-1456
Phone (314) 529-4900

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
I20100818000030 MO Practitioner - Nurse Practitioner 6709910359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Gastroenterology IncGroup PAC ID 2668448713, 25 clinicians

Practice addresses (Care Compare)

17298 N Outer 40 Rd
Suite 200
Chesterfield, MO 63005-1456
Phone (314) 529-4900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.97 of 100Reported as group
Quality
79.89
Promoting interoperability
0
Improvement activities
40
Cost
83.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146843MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Gastroenterology Inc CurrentSince Oct 1, 2016 Accepting new patients

Locations

121 Saint Lukes Center Dr
Ste 406
Chesterfield, MO 63017
Phone (314) 432-5900

17298 North Outer 40 Rd
Ste 200
Chesterfield, MO 63005
Phone (314) 529-4900

621 S New Ballas Rd
Ste 228A
Saint Louis, MO 63141
Phone (314) 251-4966

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJFAD

Organizations & group practices 1

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": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1467453134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17298 N OUTER 40 RD STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051456",
            "telephone_number": "314-529-4900",
            "fax_number": "314-434-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17298 N OUTER 40 RD STE 200",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051456",
            "telephone_number": "314-529-4900",
            "fax_number": "314-434-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMODY",
        "first_name": "CHERI",
        "middle_name": "M",
        "credential": "RN BC ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "146843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.