Individual provider Active NPI

Dawn Shontell Patrick, FNP

  • Family Nurse Practitioner
  • Florissant, MO
National Provider Identifier
1609234871
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016001341 Issued in MO
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

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190318002274 MO Practitioner - Nurse Practitioner 8628318219 Reassigns benefits to 4 organizations

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

LicenseStateTypeSpecialty
2004031314MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Medical Group Inc. CurrentSince Jan 19, 2026 Accepting new patients
SSM Health Care Group CurrentSince Feb 1, 2026 Accepting new patients
SSM Health Care Group CurrentSince Feb 1, 2026 Accepting new patients
SSM Medical Group, Inc. CurrentSince Jan 19, 2026 Accepting new patients
Archwell Health Professional Services of Kansas, P.a. CurrentSince May 2, 2025 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.

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

Verify at the official NPI Registry.