Individual provider Active NPI

Chileme U Ochulor

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1659140275
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2025051507 Issued in MO
Practice address
536 N Taylor Ave
Saint Louis, MO 63108-1888
Phone
(314) 266-8139
Fax
(314) 783-2085
NPI assigned
Dec 22, 2023
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2025051507 MO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209034560 IL

Addresses

Primary practice location

536 N Taylor Ave
Saint Louis, MO 63108-1888

Mailing address

536 N Taylor Ave
Saint Louis, MO 63108-1888
Phone (314) 266-8139

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
I20260319001301 MO Practitioner - Nurse Practitioner 2769966522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

536 N Taylor Ave
Saint Louis, MO 63108-1888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209034560ILMDPsychiatric/Mental Health Nurse Practitioner
2025051507MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primebridge Psychiatric Care LLC CurrentSince Feb 9, 2026 Accepting new patients

Locations

536 N Taylor Ave
Saint Louis, MO 63108
Phone (314) 449-1143

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": "1703203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1659140275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 N TAYLOR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081888",
            "telephone_number": "314-266-8139",
            "fax_number": "314-783-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 N TAYLOR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081888",
            "telephone_number": "314-266-8139",
            "fax_number": "314-783-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHULOR",
        "first_name": "CHILEME",
        "middle_name": "U",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-22",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2025051507",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209034560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.