Individual provider Active NPI

Mitzi M Wright, AGPCNP-C

  • Adult Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1619261617
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2026015960 Issued in MO
Practice address
12700 Southfork Rd Ste 260
Saint Louis, MO 63128-3288
Phone
(314) 543-5270
Fax
(314) 543-5272
NPI assigned
Jun 7, 2011
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2026015960 MO Primary
Nurse Practitioner 363L00000X AP60819909 WA

Addresses

Primary practice location

12700 Southfork Rd Ste 260
Saint Louis, MO 63128-3288

Mailing address

12700 Southfork Rd Ste 260
Saint Louis, MO 63128-3288
Phone (314) 543-5270

Other practice location 1

12700 Southfork Rd Ste 215
Saint Louis, MO 63128-3276
Phone (314) 543-5270

Other practice location 2

12700 Southfork Rd Ste 230
Saint Louis, MO 63128-3276
Phone (314) 543-5270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20180717002576 WA Practitioner - Nurse Practitioner 7911282843 Reassigns benefits to 1 organization

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
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2026015960MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Nurse Practitioner CurrentSince May 29, 2018 Accepting new patients
Multicare Health System CurrentSince May 29, 2018 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1450 5th St SE
Ste 3400
Puyallup, WA 98372
Phone (253) 697-4110

1901 S Cedar St
Ste 201
Tacoma, WA 98405
Phone (253) 272-2261

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: mwright196130@direct.multicare.org

Organizations & group practices 4

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 2

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": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1619261617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283288",
            "telephone_number": "314-543-5270",
            "fax_number": "314-543-5272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 260",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283288",
            "telephone_number": "314-543-5270",
            "fax_number": "314-543-5272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12700 Southfork Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631283276",
            "country_code": "US",
            "telephone_number": "314-543-5270",
            "fax_number": "314-543-5272",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12700 Southfork Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631283276",
            "country_code": "US",
            "telephone_number": "314-543-5270",
            "fax_number": "314-543-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MITZI",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2026015960",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60819909",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.