Individual provider Active NPI

Rachel Lea Levine

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1679954374
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2015013126 Issued in MO
Practice address
11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone
(314) 653-5000
NPI assigned
Jun 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2015013126 MO
Family Nurse Practitioner 363LF0000X 2015013126 MO Primary

Addresses

Primary practice location

11133 Dunn Rd
Saint Louis, MO 63136-6163

Mailing address

2511 Gass Ave
Overland, MO 63114-3224

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
I20151020002507 MO Practitioner - Nurse Practitioner 8224347935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
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)

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

Merit-based Incentive Payment System (MIPS)

Final score
42.87 of 100Reported as group
Quality
31.86
Promoting interoperability
0
Improvement activities
40
Cost
61.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015013126MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Aug 31, 2017 Accepting new patients
Total Access Urgent Care, PC CurrentSince Aug 31, 2017 Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Nurse Practitioner CurrentSince Aug 10, 2015 Accepting new patients
Bigeye Emergency Physicians LLC Past Accepting new patients

Locations (25 of 28)

9538 Gravois Rd
Affton, MO 63123
Phone (314) 932-0817

12409 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 455-4046

2501 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 778-9989

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

10923 Olive Blvd
Creve Coeur, MO 63141
Phone (314) 764-2953

408 Brothers Dr
Festus, MO 63028
Phone (636) 429-0999

1090 N Highway 67 St
Florissant, MO 63031

915 N Kirkwood Rd
Kirkwood, MO 63122
Phone (314) 932-0810

1001 Southern Ridge Ln
Lake Saint Louis, MO 63367
Phone (636) 265-6230

507 S Main St
O Fallon, MO 63366
Phone (636) 409-1092

4201 Highway K
O Fallon, MO 63368

8961 Page Ave
Overland, MO 63114

2138 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 534-4498

5325 Faraon St
Saint Joseph, MO 64506
Phone (816) 271-3500

2980 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (636) 529-8411

6900 Chippewa St
Saint Louis, MO 63109

1005 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 449-8677

2060 Hampton Ave
Saint Louis, MO 63139
Phone (314) 696-2341

12616 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128

4400 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 343-0056

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

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

3114 S Grand Blvd
Saint Louis, MO 63118

600 Mid Rivers Mall Dr
Saint Peters, MO 63376
Phone (636) 224-3208

3909 Mexico Rd
Saint Peters, MO 63376
Phone (765) 569-3178

Organizations & group practices 4

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": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1679954374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 GASS AVE",
            "city": "OVERLAND",
            "state": "MO",
            "postal_code": "631143224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 DUNN RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366163",
            "telephone_number": "314-653-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "RACHEL",
        "middle_name": "LEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-18",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2015013126",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2015013126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.