Individual provider Active NPI

Deborah Patton, PMHNP-BC

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1629465661
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2015005442 Issued in MO
Practice address
4130 Lindell Blvd
Saint Louis, MO 63108-2914
Phone
(314) 535-5600
NPI assigned
Apr 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2015005442 MO
Nurse Practitioner 363L00000X 2015005442 MO Primary

Addresses

Primary practice location

4130 Lindell Blvd
Saint Louis, MO 63108-2914

Mailing address

4130 Lindell Blvd
Saint Louis, MO 63108-2914
Phone (314) 535-5600

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
I20161220001015 MO Practitioner - Nurse Practitioner 2668753229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenz LPC LLCGroup PAC ID 1456706001, 5 clinicians

Practice addresses (Care Compare)

140 Cliff Cave Rd
Suite 200
Saint Louis, MO 63129-3646
Phone (314) 620-8291

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Mindfulness and CBT, LLC CurrentSince Mar 1, 2021 Accepting new patients
Lenz LPC LLC Psychiatric/Mental Health CurrentSince Sep 26, 2023 Accepting new patients
The Center for Mindfulness and CBT, LLC Past Accepting new patients

Locations

967 Gardenview Office Pkwy
Saint Louis, MO 63141
Phone (314) 561-9757

140 Cliff Cave Rd
Ste 200
Saint Louis, MO 63129
Phone (314) 620-8291

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1629465661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082914",
            "telephone_number": "314-535-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082914",
            "telephone_number": "314-535-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "DEBORAH",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015005442",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015005442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.