Lindsey Bender, FNP
Individual provider Active NPI Family Nurse Practitioner · Imperial, MO
NPI 1649958703 · NPPES record last updated Sep 18, 2023
Key facts
- NPI
- 1649958703
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2023022159 (MO)
- Practice address
- 1254 Main St
Imperial, MO 63052-3861 - Phone
- (636) 741-3130
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Internal Medicine of St Lukes LLC
Fenton Family Physicians LLC
Practice addresses (Care Compare)
121 Saint Lukes Ctr Dr
Chesterfield, MO 63017-3519
Phone (314) 682-3625
774 Gravois Bluffs Blvd
Suite B
Fenton, MO 63026-7758
Phone (636) 685-7734
Hospital & facility affiliations
- St Lukes Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230920001545 | MO | Practitioner - Nurse Practitioner | 1456705755 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2023022159 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine of St. Luke'S, LLC | Current |
Accepting new patients | |
| Mercy Clinic East Communities | Current |
Accepting new patients | |
| Mercy Clinic East Communities | Past | Accepting new patients | |
| Mercy Clinic East Communities | Family | Past | Accepting new patients |
Locations
121 Saint Lukes Center Dr
Ste 402
Chesterfield, MO 63017
Phone (314) 205-6160
121 Saint Lukes Center Dr
Ste 504
Chesterfield, MO 63017
Phone (314) 205-6399
222 S Woods Mill Rd
Ste 400N
Chesterfield, MO 63017
Phone (314) 317-9863
1254 Main St
Imperial, MO 63052
Phone (636) 741-3130
2223 Technology Dr
Ste 40
O Fallon, MO 63368
Phone (636) 755-4400
1820 Zumbehl Rd
Ste 120
Saint Charles, MO 63303
Phone (314) 801-5350
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2023022159 | MO | Yes |
Addresses
Primary practice location
1254 Main St
Imperial, MO 63052-3861
Mailing address
PO Box 776084
Chicago, IL 60677-6464
Phone (636) 775-4400
Other providers in Imperial, MO
- Allyson Kristine Barone
- Amanda Baum
- Deborah A Baumann
- Ashley Becker
- Stacy Elaine Becker
- Stacy Bequette
- Bliss Aesthetics & Wellness Clinic, LLC
- Brandy L Burgess, DDS, Ms, LLC
- Courtney Brophy
- Brandy Burgess
All providers in Imperial, MO · Family Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.