Active NPI
Dawn Shontell Patrick, FNP
- Family Nurse Practitioner
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016001341
- Practice address
- 14021 New Halls Ferry Rd
Florissant, MO 63033-2763 - Phone
- (314) 839-0910
- NPI assigned
- Feb 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2016001341 | MO | |
| Family Nurse Practitioner | 363LF0000X | 2016001341 | MO | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2004031314 | MO |
Addresses
Primary practice location
14021 New Halls Ferry Rd
Florissant, MO 63033-2763
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151
Other practice location 1
4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (636) 224-1700
Other practice location 2
199 N Florissant Rd
Ferguson, MO 63135-1976
Phone (314) 449-9640
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5647 Delmar Blvd
Saint Louis, MO 63112-2615
Phone (314) 531-1770
5669 Delmar Blvd
Saint Louis, MO 63112-2615
Phone (314) 531-1770
5701 Delmar Blvd
Saint Louis, MO 63112-2617
Phone (314) 367-7848
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004031314 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group Inc. | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Health Care Group | Current | Accepting new patients | |
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| Archwell Health Professional Services of Kansas, P.a. | Current | Accepting new patients |
Locations
199 N Florissant Rd
Ferguson, MO 63135
Phone (314) 449-9640
14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1194797787
-
- Internal Medicine Physician
- Ferguson, MO
- NPI 1083289086
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1306589544
-
- Federally Qualified Health Center (FQHC)
- Saint Louis, MO
- NPI 1902816077
-
- Dermatopathology Physician
- Saint Louis, MO
- NPI 1932844495
-
- Durable Medical Equipment & Medical Supplies
- Warrenton, MO
- NPI 1467997155
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1609234871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250",
"telephone_number": "888-987-1151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14021 NEW HALLS FERRY RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630332763",
"telephone_number": "314-839-0910"
}
],
"practiceLocations": [
{
"address_1": "4066 Dunnica Ave",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631163510",
"country_code": "US",
"telephone_number": "636-224-1700",
"fax_number": "314-833-6159",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "199 N Florissant Rd",
"address_purpose": "LOCATION",
"city": "Ferguson",
"state": "MO",
"postal_code": "631351976",
"country_code": "US",
"telephone_number": "314-449-9640",
"fax_number": "314-949-3437",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATRICK",
"first_name": "DAWN",
"middle_name": "SHONTELL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2016001341",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016001341",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2004031314",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.