Individual provider Active NPI

Angela Marie Warner, WHNP

  • Women's Health Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1477077394
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
2009035544 Issued in MO
Practice address
209 First Executive Ave
Saint Peters, MO 63376-1697
Phone
(636) 936-8777
Fax
(636) 939-4257
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 2009035544 MO Primary

Addresses

Primary practice location

209 First Executive Ave
Saint Peters, MO 63376-1697

Mailing address

PO Box 7412065
Chicago, IL 60674-2065
Phone (636) 936-8777

Other identifiers 1

IdentifierTypeStateIssuer
420122527MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20230426000916 MO Practitioner - Nurse Practitioner 5496110462 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009035544MOMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince May 1, 2023 Accepting new patients
Washington University CurrentSince May 1, 2023 Accepting new patients
Washington University Current Accepting new patients
Washington University Past Accepting new patients

Locations

226 S Woods Mill Rd
Ste 66W
Chesterfield, MO 63017
Phone (314) 523-1300

3009 N Ballas Rd
Ste 354C
Saint Louis, MO 63131
Phone (314) 344-3105

660 S Euclid Ave
Saint Louis, MO 63110

209 First Executive Ave
Saint Peters, MO 63376
Phone (636) 936-8777

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington University 2,968 clinicians

Practice addresses (Care Compare)

209 1St Executive Ave
Saint Peters, MO 63376-1697

3009 N Ballas Rd
354C Wuca Women'S Care Specialists
Saint Louis, MO 63131-2383
Phone (636) 936-8777

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1477077394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412065",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742065",
            "telephone_number": "636-936-8777",
            "fax_number": "636-939-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FIRST EXECUTIVE AVE",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633761697",
            "telephone_number": "636-936-8777",
            "fax_number": "636-939-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2009035544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420122527",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "209 First Executive Ave",
            "city": "Saint Peters",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633761697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.