Individual provider Active NPI

Amy E Hensley, FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1598055287
Registry record updated Mar 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011006220 Issued in MO
Practice address
625 S New Ballas Rd
Suite 2030
Saint Louis, MO 63141-8253
Phone
(314) 251-1700
Fax
(314) 251-5804
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2014

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 2011006220 MO Primary

Addresses

Primary practice location

625 S New Ballas Rd
Suite 2030
Saint Louis, MO 63141-8253

Mailing address

300 Winding Woods Dr
O Fallon, MO 63366-4771
Phone (314) 251-1700

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
I20110520000593 MO Practitioner - Nurse Practitioner 3971789231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

300 Winding Woods Dr
O Fallon, MO 63366-4773

621 S New Ballas Rd
Suite 189a
Saint Louis, MO 63141-8255
Phone (314) 251-6335

621 S New Ballas Rd
Suite 4017B
Saint Louis, MO 63141-8269
Phone (314) 872-9192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011006220MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Sep 18, 2012 Accepting new patients
Mercy Clinic East Communities CurrentSince Sep 18, 2012 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 4, 2014 Accepting new patients
Mercy Hospitals East Communities CurrentSince Mar 4, 2014 Accepting new patients
Mercy Clinic Heart and Vascular, LLC CurrentSince Apr 19, 2011 Accepting new patients
St Louis Pathology Assoc Inc. Current Accepting new patients
Mercy Clinic Kids Gi, LLC Past Accepting new patients
Mercy Clinic Cardiovascular and Thoracic Surgery, LLC Past Accepting new patients

Locations

15945 Clayton Rd
Ste 310
Ballwin, MO 63011
Phone (636) 893-1356

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

17701 Edison Ave
Ste 101
Chesterfield, MO 63005
Phone (636) 735-4122

1203 Smizer Mill Rd
Ste 100
Fenton, MO 63026
Phone (314) 230-1500

300 Winding Woods Dr
O Fallon, MO 63366
Phone (636) 240-7381

300 Winding Woods Dr
Ste 206
O Fallon, MO 63366
Phone (636) 239-8097

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

625 S New Ballas Rd
Ste 2030
Saint Louis, MO 63141
Phone (314) 251-5800

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

901 Patients First Dr
#2500
Washington, MO 63090

Interoperability endpoints

  • Direct secure messaging: ahensley93016@directc.mercy.net

Organizations & group practices 8

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1598055287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WINDING WOODS DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664771",
            "telephone_number": "314-251-1700",
            "fax_number": "314-251-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 S NEW BALLAS RD",
            "address_2": "SUITE 2030",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418253",
            "telephone_number": "314-251-1700",
            "fax_number": "314-251-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEY",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011006220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.