Individual provider Active NPI

Aleasha Elliott, APRN, NP-C

  • Family Nurse Practitioner
  • O'Fallon, MO
National Provider Identifier
1639583222
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2014017980 Issued in MO
Practice address
111 Church St Ste 10
O Fallon, MO 63366-2894
Phone
(636) 486-6770
Fax
(866) 783-4604
NPI assigned
Jun 12, 2014
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014017980 MO Primary

Addresses

Primary practice location

111 Church St Ste 10
O Fallon, MO 63366-2894

Mailing address

3289 Mango Dr
Saint Charles, MO 63301-0195
Phone (573) 560-8046

Other practice location 1

9845 W Florissant Ave
Saint Louis, MO 63136-1429
Phone (314) 736-6100

Other practice location 2

2686 N Highway 67
Florissant, MO 63033-1438
Phone (314) 921-7300

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
I20140919001969 MO Practitioner - Nurse Practitioner 4587883731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SSM Health Care St LouisGroup PAC ID 7810800737, 171 clinicians

Practice addresses (Care Compare)

711 Veterans Memorial Pkwy
Suite 100
Saint Charles, MO 63303-2106
Phone (636) 669-2211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SSM Health Care St Louis CurrentSince Jan 1, 2026 Accepting new patients
SSM Health Care St. Louis CurrentSince Jan 1, 2026 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

917 Chesterfield Pkwy E
Chesterfield, MO 63017
Phone (314) 687-2719

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

920 N Main St
O Fallon, MO 63366
Phone (314) 687-2731

711 Veterans Memorial Pkwy
Ste 100
Saint Charles, MO 63303
Phone (314) 989-6838

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1639583222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3289 MANGO DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633010195",
            "telephone_number": "573-560-8046",
            "fax_number": "636-266-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CHURCH ST STE 10",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662894",
            "telephone_number": "636-486-6770",
            "fax_number": "866-783-4604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9845 W Florissant Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631361429",
            "country_code": "US",
            "telephone_number": "314-736-6100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2686 N Highway 67",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630331438",
            "country_code": "US",
            "telephone_number": "314-921-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ALEASHA",
        "credential": "APRN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014017980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O'Fallon, MO

Sources for this page

Verify at the official NPI Registry.