Individual provider Active NPI

Bailey Padgett Shredl, FNP-C

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1508539891
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2021029975 Issued in MO
Practice address
10050 Kennerly Rd Ste 2400
Saint Louis, MO 63128-2106
Phone
(314) 849-6066
NPI assigned
Aug 1, 2021
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021029975 MO Primary

Addresses

Primary practice location

10050 Kennerly Rd Ste 2400
Saint Louis, MO 63128-2106

Mailing address

10050 Kennerly Rd Ste 2400
Saint Louis, MO 63128-2106
Phone (314) 849-6066

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
I20211209000229 MO Practitioner - Nurse Practitioner 4486042264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Oncology LLCGroup PAC ID 1153446471, 30 clinicians

Practice addresses (Care Compare)

10050 Kennerly Rd
Suite 2400
Saint Louis, MO 63128-2106
Phone (314) 849-6066

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021029975MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Oncology, LLC CurrentSince Apr 24, 2023 Accepting new patients

Locations

10050 Kennerly Rd
Ste 2400
Saint Louis, MO 63128
Phone (314) 849-6066

607 S New Ballas Rd
Ste 33
Saint Louis, MO 63141
Phone (314) 251-4400

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

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1508539891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 2400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-849-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10050 KENNERLY RD STE 2400",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-849-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHREDL",
        "first_name": "BAILEY",
        "middle_name": "PADGETT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-01",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2021029975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.