Individual provider Active NPI

Mary Frances Gildehaus, NP

  • Family Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1568058584
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020034598 Issued in MO
Practice address
222 S Woods Mill Rd Ste 550N
Chesterfield, MO 63017-3641
Phone
(314) 434-3049
NPI assigned
Dec 14, 2020
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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 2020034598 MO Primary

Addresses

Primary practice location

222 S Woods Mill Rd Ste 550N
Chesterfield, MO 63017-3641

Mailing address

222 S Woods Mill Rd Ste 550N
Chesterfield, MO 63017-3641
Phone (314) 434-3049

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
I20210119002056 MO Practitioner - Nurse Practitioner 6204249956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic Surgery, LLCGroup PAC ID 1254365281, 14 clinicians

Practice addresses (Care Compare)

222 S Woods Mill Rd
Suite 550N
Chesterfield, MO 63017-3641
Phone (314) 434-3049

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiothoracic Surgery, LLC CurrentSince Jan 4, 2021 Accepting new patients

Locations

222 S Woods Mill Rd
Ste 360
Chesterfield, MO 63017
Phone (314) 576-1001

222 S Woods Mill Rd
Ste 550N
Chesterfield, MO 63017
Phone (314) 434-3049

226 S Woods Mill Rd
Ste 550
Chesterfield, MO 63017

5551 Winghaven Blvd
Ste 180
O Fallon, MO 63368
Phone (314) 205-6699

2355 Dougherty Ferry Rd
Ste 310
Saint Louis, MO 63122
Phone (314) 434-3049

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 1

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": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1568058584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 550N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173641",
            "telephone_number": "314-434-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S WOODS MILL RD STE 550N",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173641",
            "telephone_number": "314-434-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILDEHAUS",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020034598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.