Individual provider Active NPI

Steffany Marie Ahlheim, FNP

  • Family Nurse Practitioner
  • Potosi, MO
National Provider Identifier
1639931355
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024012224 Issued in MO
Practice address
1 Southtowne Dr
Potosi, MO 63664-5729
Phone
(573) 438-9355
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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 2024012224 MO Primary

Addresses

Primary practice location

1 Southtowne Dr
Potosi, MO 63664-5729

Mailing address

5800 Hillshire LN
Hillsboro, MO 63050-4203
Phone (314) 307-8591

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
I20240209001651 MO Practitioner - Nurse Practitioner 9133562838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Mines Health CenterGroup PAC ID 3072598143, 19 clinicians

Practice addresses (Care Compare)

1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355

Hospital & facility affiliations

  • Washington County Memorial Hospital Hospital, Potosi, MO, CCN 261308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Mines Health Center CurrentSince Nov 14, 2024 Accepting new patients
Great Mines Health Center CurrentSince Nov 14, 2024 Accepting new patients
Great Mines Health Center PastSince Aug 3, 2025 Accepting new patients

Locations

508 W Pine St
Farmington, MO 63640
Phone (573) 664-1100

1401 Maple St
Farmington, MO 63640
Phone (573) 664-1100

1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401

Interoperability endpoints

  • Direct secure messaging: steffany.ahlheim@gmhc.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1639931355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HILLSHIRE LN",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630504203",
            "telephone_number": "314-307-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTHTOWNE DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636645729",
            "telephone_number": "573-438-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHLHEIM",
        "first_name": "STEFFANY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2024012224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potosi, MO

Sources for this page

Verify at the official NPI Registry.