Individual provider Active NPI

Molly Katherine Eggleston, DNP

  • Critical Care Medicine Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1487313987
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
2022004504 Issued in MO
Practice address
625 S New Ballas Rd Ste 7040R
Saint Louis, MO 63141-8218
Phone
(314) 251-6970
NPI assigned
Dec 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 2015003126 MO
Critical Care Medicine Nurse Practitioner 363LC0200X 2022004504 MO Primary

Addresses

Primary practice location

625 S New Ballas Rd Ste 7040R
Saint Louis, MO 63141-8218

Mailing address

625 S New Ballas Rd Ste 7040R
Saint Louis, MO 63141-8218
Phone (314) 251-6970

Other practice location 1

10012 Kennerly Rd Ste 403
Saint Louis, MO 63128-2197
Phone (314) 251-6970

Other practice location 2

901 Patients First Dr
Washington, MO 63090-4700
Phone (314) 251-6970

Other practice location 3

1390 US Highway 61 Ste N1500
Festus, MO 63028-4137
Phone (314) 251-6970

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
I20220224000569 MO Practitioner - Nurse Practitioner 8123412798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Cardiovascular and Thoracic Surgery LLCGroup PAC ID 6204832199, 23 clinicians

Practice addresses (Care Compare)

625 S New Ballas Rd
R 7040
Saint Louis, MO 63141-8253
Phone (314) 251-6970

Hospital & facility affiliations

  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015003126MOMDCritical Care Medicine Registered Nurse
2022004504MOMDCritical Care Medicine Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Dec 11, 2023 Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC CurrentSince Dec 11, 2023 Accepting new patients

Locations

1390 US Highway 61
Ste N1500
Crystal Cty, MO 63028
Phone (636) 933-5055

625 S New Ballas Rd
#R7040
Saint Louis, MO 63141

625 S New Ballas Rd
Ste 7040R
Saint Louis, MO 63141

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

10012 Kennerly Rd
Ste 403
Saint Louis, MO 63128
Phone (314) 525-1800

625 S New Ballas Rd
Ste R7040
Saint Louis, MO 63141
Phone (314) 251-5756

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Organizations & group practices 2

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 5

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": "1639267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1487313987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD STE 7040R",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418218",
            "telephone_number": "314-251-6970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD STE 7040R",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418218",
            "telephone_number": "314-251-6970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10012 Kennerly Rd Ste 403",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631282197",
            "country_code": "US",
            "telephone_number": "314-251-6970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Patients First Dr",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "MO",
            "postal_code": "630904700",
            "country_code": "US",
            "telephone_number": "314-251-6970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1390 US Highway 61 Ste N1500",
            "address_purpose": "LOCATION",
            "city": "Festus",
            "state": "MO",
            "postal_code": "630284137",
            "country_code": "US",
            "telephone_number": "314-251-6970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGGLESTON",
        "first_name": "MOLLY",
        "middle_name": "KATHERINE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-12",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MO",
            "license": "2015003126",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "MO",
            "license": "2022004504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.