Individual provider Active NPI

Delores Calmese, FNP

  • Family Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1477708816
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11015289 Issued in FL
Practice address
11642 W Florissant Ave
Florissant, MO 63033-6723
Phone
(314) 838-8220
NPI assigned
Nov 26, 2008
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2012004975 MO
Family Nurse Practitioner 363LF0000X APRN11015289 FL Primary
Registered Nurse 163W00000X 152769 MO

Addresses

Primary practice location

11642 W Florissant Ave
Florissant, MO 63033-6723

Mailing address

317 Louisa Ave
Saint Louis, MO 63135-2648
Phone (314) 541-1633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, FL2 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
I20120503000505 MO Practitioner - Nurse Practitioner 1456513688 Reassigns benefits to 2 organizations
I20220104001125 FL Practitioner - Nurse Practitioner 1456513688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Openloop Healthcare Partners PCGroup PAC ID 2668871898, 47 clinicians
Betty Jean Kerr Peoples Health CentersGroup PAC ID 5991618837, shared by 4 NPIs, 21 clinicians

Practice addresses (Care Compare)

100 Chesterfield Bus Pkwy
FL 2
Chesterfield, MO 63005-1271
Phone (660) 466-2605

11642 W Florissant Ave
Florissant, MO 63033-6723
Phone (314) 838-8220

5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone (314) 367-7848

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152769MOMDRegistered Nurse
2012004975MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince Mar 21, 2022 Accepting new patients
Doctor on Demand Professionals P C CurrentSince Aug 1, 2023 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Jan 16, 2025 Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients
VMD Primary Providers Central Florida PLLC PastSince May 8, 2022 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

4404 S Highway 27
Clermont, FL 34711

210 Southern Breeze Dr
Minneola, FL 34715

1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725

1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

Interoperability endpoints

  • Direct secure messaging: delores.calmese.p1@direct.phcenters.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1477708816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 LOUISA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631352648",
            "telephone_number": "314-541-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11642 W FLORISSANT AVE",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336723",
            "telephone_number": "314-838-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALMESE",
        "first_name": "DELORES",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012004975",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11015289",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "152769",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

Verify at the official NPI Registry.