Individual provider Active NPI

Gwynne Heidi Kohn, PA

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1669707477
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2023050454 Issued in MO
Practice address
1 Barnes Jewish Hospital PLZ
Dept Emergency Med
Saint Louis, MO 63110-1003
Phone
(314) 362-9123
Fax
(314) 362-0478
NPI assigned
Oct 12, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2023050454 MO Primary

Addresses

Primary practice location

1 Barnes Jewish Hospital PLZ
Dept Emergency Med
Saint Louis, MO 63110-1003

Mailing address

PO Box 60352
Saint Louis, MO 63160-0352
Phone (314) 362-9123

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20091229000363 FL Practitioner - Physician Assistant 5991845711 Reassigns benefits to 1 organization
I20240531001168 MO Practitioner - Physician Assistant 5991845711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

1005 S Big Bend Blvd
Saint Louis, MO 63117-1605
Phone (314) 961-2255

1090 N Hwy 67 St
Florissant, MO 63031-4720
Phone (314) 961-2255

10923 Olive Blvd
Creve Coeur, MO 63141-7740
Phone (314) 961-2255

12409 Saint Charles Rock Rd
Bridgeton, MO 63044-2507
Phone (314) 961-2255

12616 Lamplighter Square Shopping
Saint Louis, MO 63128-2746
Phone (314) 961-2255

13861 Manchester Rd
Ballwin, MO 63011-4503
Phone (314) 961-2255

2060 Hampton Ave
Saint Louis, MO 63139-2903
Phone (314) 961-2255

2501 Clarkson Rd
Chesterfield, MO 63017-7398
Phone (314) 961-2255

2980 Dougherty Ferry Rd
Saint Louis, MO 63122-3366
Phone (314) 961-2255

3114 S Grand Blvd
Saint Louis, MO 63118-1012
Phone (314) 961-2255

6900 Chippewa St
Saint Louis, MO 63109-3038
Phone (314) 961-2255

8961 Page Ave
Overland, MO 63114-6104
Phone (314) 961-2255

915 N Kirkwood Rd
Kirkwood, MO 63122-2665
Phone (314) 961-2255

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
71.6
Promoting interoperability
100
Improvement activities
40
Cost
75.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2023050454MOMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Mar 18, 2025 Accepting new patients
Total Access Urgent Care, PC CurrentSince Mar 18, 2025 Accepting new patients

Locations

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1669707477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60352",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631600352",
            "telephone_number": "314-362-9123",
            "fax_number": "314-362-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "address_2": "DEPT EMERGENCY MED",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003",
            "telephone_number": "314-362-9123",
            "fax_number": "314-362-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "GWYNNE",
        "middle_name": "HEIDI",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-12",
        "last_updated": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2023050454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Barnes Jewish Hospital Plz",
            "address_2": "Dept Emergency Med",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.