Active NPI
Susan B Buettner-Miller, ANP
- Adult Health Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- A0605268
- Practice address
- 625 S New Ballas Rd
Suite 2030
Saint Louis, MO 63141-8253 - Phone
- (314) 251-1700
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | A0605268 | MO | Primary |
Addresses
Primary practice location
625 S New Ballas Rd
Suite 2030
Saint Louis, MO 63141-8253
Mailing address
625 S New Ballas Rd
Suite 2030
Saint Louis, MO 63141-8253
Phone (314) 251-1700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 427223706 | Medicaid | MO | |
| 1669412359 | Other | NPI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10012 Kennerly Rd
Saint Louis, MO 63128-2197
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A0605268 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Hospitals East Communities | Current | Accepting new patients | |
| Mercy Clinic Heart and Vascular, LLC | Current | Accepting new patients | |
| St Louis Pathology Assoc Inc. | Current | Accepting new patients | |
| Mercy Clinic Cardiovascular and Thoracic Surgery, LLC | Past | Accepting new patients | |
| Saint Luke'S Physician Group Inc | Past | Accepting new patients | |
| Mercy Clinic East Communities | Past | Accepting new patients |
Locations
15945 Clayton Rd
Ste 230A
Ballwin, MO 63011
Phone (636) 256-5240
1400 US Highway 61
Ste 250
Crystal Cty, MO 63028
Phone (636) 543-2420
620 Maple Valley Dr
Farmington, MO 63640
Phone (573) 454-2466
1203 Smizer Mill Rd
Ste 102
Fenton, MO 63026
Phone (636) 717-1479
755 Dunn Rd
Ste 160
Hazelwood, MO 63042
Phone (314) 251-1775
509 W 18th St
Hermann, MO 65041
Phone (573) 486-2045
2680 Gravois Rd
High Ridge, MO 63049
Phone (314) 842-0602
440 Hometown Plaza Dr
Owensville, MO 65066
Phone (573) 437-6100
1820 Zumbehl Rd
Ste 120
Saint Charles, MO 63303
Phone (314) 801-5350
625 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-0175
12200 Weber Hill Rd
Ste 100
Saint Louis, MO 63127
Phone (314) 698-2400
12348 Old Tesson Rd
Ste 260
Saint Louis, MO 63128
Phone (314) 251-1777
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
10012 Kennerly Rd
Ste 202
Saint Louis, MO 63128
Phone (314) 692-2807
4280 Mid America Ln
Ste 10
Saint Louis, MO 63129
Phone (314) 692-2807
625 S New Ballas Rd
Ste 2030
Saint Louis, MO 63141
Phone (314) 251-5800
625 S New Ballas Rd
Ste 2015
Saint Louis, MO 63141
Phone (314) 251-1775
1326 S Service Rd W
Ste 30
Sullivan, MO 63080
Phone (314) 543-5999
901 Patients First Dr
#2500
Washington, MO 63090
901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500
901 Patients First Dr
Ste 2500
Washington, MO 63090
Organizations & group practices 7
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.
-
- Cardiovascular Disease Physician
- Saint Louis, MO
- NPI 1932176401
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
-
- Anatomic Pathology & Clinical Pathology Physician
- Saint Louis, MO
- NPI 1194778415
-
- Vascular Surgery Physician
- Washington, MO
- NPI 1528192416
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Family Medicine Physician
- Kansas City, MO
- NPI 1093263717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1669412359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S NEW BALLAS RD",
"address_2": "SUITE 2030",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418253",
"telephone_number": "314-251-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S NEW BALLAS RD",
"address_2": "SUITE 2030",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418253",
"telephone_number": "314-251-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUETTNER-MILLER",
"first_name": "SUSAN",
"middle_name": "B",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "A0605268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "427223706",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1669412359",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.