Individual provider Active NPI

Nellie Bargar-Richardson, FNP-BC

  • Family Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1669240735
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023048645 Issued in MO
Practice address
111 Saint Lukes Center Dr
Chesterfield, MO 63017-3509
Phone
(636) 685-7830
NPI assigned
Dec 18, 2023
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209029501 IL
Family Nurse Practitioner 363LF0000X 2023048645 MO Primary

Addresses

Primary practice location

111 Saint Lukes Center Dr
Chesterfield, MO 63017-3509

Mailing address

111 Saint Lukes Center Dr
Chesterfield, MO 63017-3509

Other practice location 1

1636 N. Main St.
Morton, IL 61550
Phone (309) 284-0707

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
I20240410000815 MO Practitioner - Nurse Practitioner 3870655731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Lukes Urology, LLCGroup PAC ID 0749602712, 11 clinicians

Practice addresses (Care Compare)

226 S Woods Mill Rd
Suite 52W
Chesterfield, MO 63017-3664
Phone (636) 685-7830

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209029501ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions of Morton, LLC CurrentSince Apr 12, 2002 Accepting new patients
St. Lukes Urology, LLC CurrentSince Feb 19, 2024 Accepting new patients
Health Solutions Integrated Medi Care, PLLC CurrentSince Oct 27, 2024 Accepting new patients

Locations

1636 N Main St
Morton, IL 61550
Phone (309) 284-0707

111 Saint Lukes Center Dr
Ste 24B
Chesterfield, MO 63017
Phone (636) 685-7830

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

226 S Woods Mill Rd
Ste 5
Chesterfield, MO 63017
Phone (636) 685-7830

226 S Woods Mill Rd
Ste 52W
Chesterfield, MO 63017
Phone (314) 434-2399

5551 Winghaven Blvd
Ste 250
O Fallon, MO 63368
Phone (314) 434-1211

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

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1669240735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SAINT LUKES CENTER DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173509",
            "telephone_number": "636-685-7830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 N. Main St.",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "IL",
            "postal_code": "61550",
            "country_code": "US",
            "telephone_number": "309-284-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARGAR-RICHARDSON",
        "first_name": "NELLIE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029501",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023048645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.