Individual provider Active NPI

Amanda J Stephens, MD

  • Maternal & Fetal Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1508177593
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
2017014187 Issued in MO
Practice address
621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Phone
(314) 991-5000
Fax
(314) 991-5035
NPI assigned
Jun 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 2017014187 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265

Mailing address

621 S New Ballas Rd Ste 2007B
Saint Louis, MO 63141-8265
Phone (314) 991-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170725002308 MO Practitioner - Obstetrics/Gynecology 8820224165 Reassigns benefits to 1 organization
I20211123003101 IL Practitioner - Obstetrics/Gynecology 8820224165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Maternal Fetal Medicine, LLCGroup PAC ID 5294000485, 16 clinicians

Practice addresses (Care Compare)

621 S New Ballas Rd
Saint Louis, MO 63141-8265
Phone (314) 951-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Current Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince May 19, 2018 Accepting new patients
Mercy Clinic Maternal Fetal Medicine LLC Maternal & Fetal Medicine CurrentSince Oct 3, 2022 Accepting new patients
Endeavor Health Medical Group CurrentSince Oct 17, 2021 Accepting new patients
Hannibal Regional Healthcare System, Inc CurrentSince May 19, 2018 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

6500 Hospital Dr
Hannibal, MO 63401
Phone (573) 629-3400

621 S New Ballas Rd
Ste 20
Saint Louis, MO 63141
Phone (314) 951-5000

621 S New Ballas Rd
Ste 2007B
Saint Louis, MO 63141
Phone (314) 951-5000

615 S New Ballas Rd
Ste 1211
Saint Louis, MO 63141
Phone (314) 991-5000

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1508177593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2007B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-991-5000",
            "fax_number": "314-991-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2007B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-991-5000",
            "fax_number": "314-991-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "AMANDA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-24",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MO",
            "license": "2017014187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.