Active NPI
Lisa Ann Nelson, FNP-C
- Family Nurse Practitioner
- Chesterfield, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018033948
- Practice address
- 15740 S Outer 40 Rd
Chesterfield, MO 63017-2004 - Phone
- (636) 237-4700
- NPI assigned
- Aug 27, 2018
- 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 | 2018033948 | MO | Primary |
Addresses
Primary practice location
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Mailing address
15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4700
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Baptist Hospital of Sullivan | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Total Access Urgent Care, PC | Current | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Current | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Current | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Current | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Past | Accepting new patients |
Locations
102 Ozark Dr
#B
Cuba, MO 65453
Phone (573) 860-6600
9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054
1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1962684886
-
- Critical Access Hospital
- Sullivan, MO
- NPI 1295743169
-
- Rural Health Clinic/Center
- Cuba, MO
- NPI 1396827408
-
- Neurology Physician
- Chesterfield, MO
- NPI 1063965093
-
- Rural Health Clinic/Center
- Sullivan, MO
- NPI 1235228222
-
- Ambulance
- Sullivan, MO
- NPI 1831343268
-
- Urgent Care Clinic/Center
- Saint Louis, MO
- NPI 1952729402
-
- Multi-Specialty Clinic/Center
- Sullivan, MO
- NPI 1215945480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1477034437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15740 S OUTER 40 RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172004",
"telephone_number": "636-237-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15740 S OUTER 40 RD",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630172004",
"telephone_number": "636-237-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018033948",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "965 Mattox Dr",
"city": "Sullivan",
"state": "MO",
"country_code": "US",
"postal_code": "630802365",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.