Individual provider Active NPI

Rhonda Ann Pepmiller, ANP-BC,CWOCN

  • Adult Health Nurse Practitioner
  • Washington, MO
National Provider Identifier
1578824116
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2012013022 Issued in MO
Practice address
851 E 5TH St Ste 309
Washington, MO 63090
Phone
(636) 861-7880
Fax
(636) 861-7899
NPI assigned
May 30, 2012
Last updated
May 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2012013022 MO Primary

Addresses

Primary practice location

851 E 5TH St Ste 309
Washington, MO 63090

Mailing address

851 E 5TH St Ste 309
Washington, MO 63090-3135
Phone (636) 861-7880

Other practice location 1

14805 N Outer 40 Rd
320
Chesterfield, MO 63017-6060
Phone (888) 811-4677

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
I20120705000128 MO Practitioner - Nurse Practitioner 0143485714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Hyperbaric and Wound Care LLCGroup PAC ID 0345468526, 15 clinicians

Practice addresses (Care Compare)

1390 US Hwy 61
Suite G1500
Festus, MO 63028

1390 US Hwy 61
Suite G1500
Festus, MO 63028-4138
Phone (636) 933-1163

1390 US Hwy 61 G1500
Festus, MO 63028

851 E 5TH St
152 Mercy Clinic Hyperbaric and Wound C
Washington, MO 63090-3128
Phone (636) 861-7880

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Hyperbaric and Wound Care LLC CurrentSince May 27, 2019 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients
WCS Professional Services of Virginia, LLC Past Accepting new patients

Locations

1390 US Highway 61
Ste G
Crystal Cty, MO 63028
Phone (636) 933-1163

851 E 5th St
Ste 152
Washington, MO 63090
Phone (636) 239-5155

Organizations & group practices 3

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": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1578824116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 309",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903135",
            "telephone_number": "636-861-7880",
            "fax_number": "636-861-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST STE 309",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "63090",
            "telephone_number": "636-861-7880",
            "fax_number": "636-861-7899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14805 N Outer 40 Rd",
            "address_2": "320",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630176060",
            "country_code": "US",
            "telephone_number": "888-811-4677",
            "fax_number": "800-605-8906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPMILLER",
        "first_name": "RHONDA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC,CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2012013022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.