Individual provider Active NPI

James Andrew Adams, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1649733932
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019006929 Issued in MO
Practice address
255 Spencer Rd Ste 201
Saint Peters, MO 63376-2576
Phone
(636) 939-2550
Fax
(636) 939-2551
NPI assigned
Apr 12, 2019
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019006929 MO Primary

Addresses

Primary practice location

255 Spencer Rd Ste 201
Saint Peters, MO 63376-2576

Mailing address

255 Spencer Rd Ste 201
Saint Peters, MO 63376-2576
Phone (636) 939-2550

Other identifiers 1

IdentifierTypeStateIssuer
2019006929OtherMOLICENSE

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
I20190717001581 MO Practitioner - Nurse Practitioner 2668707399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

255 Spencer Rd
Suite 201
Saint Peters, MO 63376-2576
Phone (636) 939-2550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince May 11, 2019 Accepting new patients

Locations

255 Spencer Rd
Ste 201
Saint Peters, MO 63376
Phone (636) 929-2550

5301 Veterans Memorial Pkwy
Ste 105
Saint Peters, MO 63376
Phone (314) 806-1770

Interoperability endpoints

  • Direct secure messaging: adv.jamesandrewadams@140753.advancedmd-direct.com

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

NPI Registry JSON

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

{
    "created_epoch": "1555027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1649733932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762576",
            "telephone_number": "636-939-2550",
            "fax_number": "636-939-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SPENCER RD STE 201",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762576",
            "telephone_number": "636-939-2550",
            "fax_number": "636-939-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JAMES",
        "middle_name": "ANDREW",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-12",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019006929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "2019006929",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

Verify at the official NPI Registry.