Individual provider Active NPI

Julie May Stout, ANP-BC

  • Adult Health Nurse Practitioner
  • Ballwin, MO
National Provider Identifier
1639209745
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
086973 Issued in MO
Practice address
15945 Clayton Rd Ste 310
Ballwin, MO 63011-2493
Phone
(636) 863-1356
Fax
(636) 893-1358
NPI assigned
Mar 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 086973 MO Primary

Addresses

Primary practice location

15945 Clayton Rd Ste 310
Ballwin, MO 63011-2493

Mailing address

6 Silver LN
Kirkwood, MO 63122-5819
Phone (314) 278-6712

Other names 1

  • Ms. Julie May Scheumbauer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address julie.scheumbauer@mercy.net Direct

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
I20151124000877 MO Practitioner - Nurse Practitioner 7214237239 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
086973MOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities CurrentSince Jan 25, 2021 Accepting new patients

Locations

15945 Clayton Rd
Ste 310
Ballwin, MO 63011
Phone (636) 893-1356

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

1000 Des Peres Rd
Ste 310
Saint Louis, MO 63131
Phone (314) 821-1313

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Organizations & group practices 1

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1639209745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SILVER LN",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225819",
            "telephone_number": "314-278-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15945 CLAYTON RD STE 310",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112493",
            "telephone_number": "636-863-1356",
            "fax_number": "636-893-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT",
        "first_name": "JULIE",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2023-03-23",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "086973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie.scheumbauer@mercy.net",
            "affiliation": "N",
            "endpointDescription": "julie.scheumbauer@mercy.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "julie.scheumbauer@mercy.net",
            "address_1": "15945 Clayton Rd Ste 310",
            "city": "Ballwin",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630112493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SCHEUMBAUER",
            "middle_name": "MAY",
            "prefix": "MS.",
            "credential": "ANP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.