US Mens Medical Center

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

2015008642 Issued in MO

Legal business name

US MENS MEDICAL CENTER

Practice address

1334 Heritage Pkwy
Wentzville, MO 63385-3570

Phone

(636) 288-5225

NPI assigned

Mar 23, 2016

Last updated

Sep 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek J Lambert, NP-CNPI 1538554167

Title

Nurse Practitioner/Owner

Phone

(636) 288-5225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derek Lambert

  • Adult Health Nurse Practitioner
  • Wentzville, MO
  • NPI 1538554167
  Medicare reassignment Care Compare group NPD Authorized official
• Erin Capellupo, FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
  • NPI 1720589450
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1458691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1639531148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 HERITAGE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 HERITAGE PKWY",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853570",
            "telephone_number": "636-288-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US MENS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-23",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "LAMBERT",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "636-288-5225",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2015008642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison R Turner
• Sabrina Marie Tuttolomondo, LPC
• TWC Wentzville LLC (TWC Chiro)
• Muhammad H Ul Islam, M.D
• Urgent Care for Kids
• Laura M Vaclavik
• Valentine Pharmacy Consultant Services LLC
• Sandhya Vallem, M.D
• Andrea Marie Vandecasteele
• Brittany Vanhooser

• Adult Health Nurse Practitioner in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.