Active NPI
Kathleen A Wohldmann, ANP
- Nurse Practitioner
- Wentzville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2018001743
- Practice address
- 1520 Wentzville Pkwy
Wentzville, MO 63385-3408 - Phone
- (636) 497-4055
- NPI assigned
- Jan 4, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2018001743 | MO | Primary |
Addresses
Primary practice location
1520 Wentzville Pkwy
Wentzville, MO 63385-3408
Mailing address
1520 Wentzville Pkwy
Wentzville, MO 63385-3408
Phone (636) 497-4055
Other practice location 1
711 Veterans Memorial Pkwy Ste 300
Saint Charles, MO 63303
Phone (636) 495-4500
Other practice location 2
300 1st Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000
Other practice location 3
300 1st Capitol Dr
Saint Charles, MO 63301-2844
Phone (636) 947-5000
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kwohldmann15762@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1520 Wentzville Pkwy
Wentzville, MO 63385-3408
Phone (636) 497-4000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018001743 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Groups LC | Current | Accepting new patients | |
| Physician Groups LC | Current | Accepting new patients |
Locations
20 Progress Point Pkwy
Ste 200
O Fallon, MO 63368
Phone (636) 916-7060
2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454
10 Hospital Dr
Ste 100
Saint Peters, MO 63376
Phone (636) 916-7272
1520 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 497-4000
Interoperability endpoints
- kwohldmann15762@direct-ehr-ssmhc.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1285664268
-
- Multi-Specialty Clinic/Center
- Farmington, MO
- NPI 1427114990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1619484268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 WENTZVILLE PKWY",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853408",
"telephone_number": "636-497-4055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 WENTZVILLE PKWY",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853408",
"telephone_number": "636-497-4055"
}
],
"practiceLocations": [
{
"address_1": "711 Veterans Memorial Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "63303",
"country_code": "US",
"telephone_number": "636-495-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 1st Capitol Dr",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012844",
"country_code": "US",
"telephone_number": "636-947-5000",
"fax_number": "636-947-5090",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 1st Capitol Dr",
"address_purpose": "LOCATION",
"city": "Saint Charles",
"state": "MO",
"postal_code": "633012844",
"country_code": "US",
"telephone_number": "636-947-5000",
"fax_number": "636-947-5090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOHLDMANN",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-04",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2018001743",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kwohldmann15762@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kwohldmann15762@direct-ehr-ssmhc.com",
"address_1": "711 Veterans Memorial Pkwy Ste 300",
"city": "Saint Charles",
"state": "MO",
"country_code": "US",
"postal_code": "63303",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "711 Veterans Memorial Pkwy Ste 300",
"city": "Saint Charles",
"state": "MO",
"country_code": "US",
"postal_code": "63303",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1520 Wentzville Pkwy",
"city": "Wentzville",
"state": "MO",
"country_code": "US",
"postal_code": "633853408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.