Active NPI
Charissa Faith Holesko, ANP
- Nurse Practitioner
- O'Fallon, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209035756
- Practice address
- 3 Saint Elizabeth Blvd
O Fallon, IL 62269-1281 - Phone
- (618) 641-5803
- Fax
- (618) 607-5116
- NPI assigned
- Aug 18, 2015
- Last updated
- Jul 23, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209035756 | IL | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 2015038009 | MO |
Addresses
Primary practice location
3 Saint Elizabeth Blvd
O Fallon, IL 62269-1281
Mailing address
3 Saint Elizabeth Blvd
O Fallon, IL 62269-1281
Phone (618) 641-5803
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cholesko378602@ewd.direct.hshs.org | Other | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
4921 Parkview PL
Saint Louis, MO 63110-1032
Phone (314) 454-7318
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.2 of 100
- Quality
- 71.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015038009 | MO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University | Current | Accepting new patients |
Locations
1 Barnes Hospital
#P
Saint Louis, MO 63110
Phone (314) 362-9355
1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700
4921 Parkview Pl
Saint Louis, MO 63110
Phone (314) 747-4850
660 S Euclid Ave
#8015
Saint Louis, MO 63110
Phone (314) 286-1018
660 S Euclid Ave
#8051
Saint Louis, MO 63110
Phone (314) 454-8214
660 S Euclid Ave
#8242
Saint Louis, MO 63110
Phone (314) 462-0710
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1760425474
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1992746903
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1649299827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1619343274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SAINT ELIZABETH BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691281",
"telephone_number": "618-641-5803",
"fax_number": "618-607-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SAINT ELIZABETH BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691281",
"telephone_number": "618-641-5803",
"fax_number": "618-607-5116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLESKO",
"first_name": "CHARISSA",
"middle_name": "FAITH",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209035756",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "2015038009",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cholesko378602@ewd.direct.hshs.org",
"affiliation": "N",
"endpointDescription": "Hor HSHS Medical Group",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CDA/CCD/TXT",
"address_1": "3 Saint Elizabeth Blvd",
"city": "O Fallon",
"state": "IL",
"country_code": "US",
"postal_code": "622691281",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "1 Barnes Jewish Hospital Plz",
"address_2": "Div IM Infectious Disease",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101003",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.