Individual provider Active NPI

Kelly D Fischer, NP

  • Family Nurse Practitioner
  • Creve Coeur, MO
National Provider Identifier
1588905970
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017007329 Issued in MO
Practice address
633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739
Phone
(314) 991-4335
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 2017007329 MO Primary

Addresses

Primary practice location

633 Emerson Rd Ste 100
Creve Coeur, MO 63141-6739

Mailing address

560 Queens Court PL
Saint Peters, MO 63376-7349
Phone (314) 348-8639

Other practice location 1

93 Birch Glen Ct
Saint Peters, MO 63376-2644
Phone (314) 348-8639

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
I20190424001963 MO Practitioner - Nurse Practitioner 0547502437 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Joint Health LLCGroup PAC ID 2567695893, 12 clinicians

Practice addresses (Care Compare)

304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone (314) 991-4335

333 S Kirkwood Rd
Suite 200
Saint Louis, MO 63122-6161
Phone (314) 909-1666

633 Emerson Rd
Creve Coeur, MO 63141-6739

Hospital & facility affiliations

  • Barnes-Jewish West County Hospital Hospital, Creve Coeur, MO, CCN 260162

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Health LLC CurrentSince Sep 18, 2023 Accepting new patients

Locations

14825 North Outer 40 Rd
Ste 200
Chesterfield, MO 63017
Phone (314) 336-2555

304 S Mount Auburn Rd
Cpe Girardeau, MO 63703
Phone (573) 334-9933

1705 Christy Dr
Ste 201
Jefferson Cty, MO 65101
Phone (573) 635-0051

333 S Kirkwood Rd
Ste 200
Saint Louis, MO 63122
Phone (314) 713-9222

633 Emerson Rd
Ste 10
Saint Louis, MO 63141
Phone (314) 991-2150

633 Emerson Rd
Ste 100
Saint Louis, MO 63141
Phone (314) 872-7744

992 Wentzville Pkwy
Wentzville, MO 63385
Phone (314) 991-4342

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 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": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1588905970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 QUEENS COURT PL",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767349",
            "telephone_number": "314-348-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 EMERSON RD STE 100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631416739",
            "telephone_number": "314-991-4335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "93 Birch Glen Ct",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633762644",
            "country_code": "US",
            "telephone_number": "314-348-8639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KELLY",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017007329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.