Active NPI
Abby Cronin Peer, AGNP
- Gerontology Nurse Practitioner
- Creve Coeur, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 2015001251
- Practice address
- 11500 Olive Blvd Ste 235
Creve Coeur, MO 63141-7141 - Phone
- (314) 925-0903
- NPI assigned
- Feb 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1104235241
MO
-
- Geriatric Medicine (Internal Medicine) Physician
- Chillicothe, OH
- NPI 1093371312
MO
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1235168410
MO
-
- Geriatric Medicine (Internal Medicine) Physician
- Glen Carbon, IL
- NPI 1366050007
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1740969120
-
- Internal Medicine Physician
- Waterloo, IL
- NPI 1104674431
-
- Emergency Medicine Physician
- Chesterfield, MO
- NPI 1215359815
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
- Pai Participant 1 LLCGeneration Clinical Partners LLC
Practice addresses (Care Compare)
13190 S Outer 40 Rd
Chesterfield, MO 63017-5917
Phone (314) 968-9313
351 Forest Summit CT
Ballwin, MO 63021-5524
Phone (314) 686-4468
505 Couch Ave
Kirkwood, MO 63122-5577
Phone (314) 822-9911
723 S Laclede Station Rd
Webster Groves, MO 63119-4911
Phone (314) 968-5570
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150518001489 | MO | Practitioner - Nurse Practitioner | 6709106669 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015001251 | MO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generation Clinical Partners Aco, LLC | Current | Accepting new patients | |
| Generation Clinical Partners LLC | Current | Accepting new patients | |
| Physician Specialists of St Lukes LLC | Current | Accepting new patients | |
| Pai Participant 1 LLC | Current | Accepting new patients | |
| Generation Clinical Partners LLC | Current | Accepting new patients | |
| Generation Clinical Partners Aco, LLC | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Current | Accepting new patients | |
| Emergency Physicians of St. Luke'S, LLC | Past | Accepting new patients |
Locations
1 Meramec Bluffs Dr
Ballwin, MO 63021
Phone (636) 861-0600
222 S Woods Mill Rd
Ste 580
Chesterfield, MO 63017
Phone (314) 205-6736
121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278
2201 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 736-8800
515 Picnic St
New Florence, MO 63363
Phone (573) 415-9333
11500 Olive Blvd
Ste 235
Saint Louis, MO 63141
10426 Baur Blvd
Saint Louis, MO 63132
Phone (314) 632-6265
505 Couch Ave
Saint Louis, MO 63122
Phone (314) 822-9911
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
13190 South Outer 40 Rd
Town and Country, MO 63017
Phone (314) 392-6380
232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030
Interoperability endpoints
- https://api.platform.athenahealth.com/9850/brand/1/csg/1/fhir/r4
- abby.cronin.1@9850.direct.athenahealth.com
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2015001251 | MO | Primary |
Addresses
Primary practice location
11500 Olive Blvd Ste 235
Creve Coeur, MO 63141-7141
Mailing address
1093 Arbor Grove CT
Chesterfield, MO 63005-4984
Phone (314) 603-3830
Other practice location 1
222 S Woods Mill Rd
Suite 580 South
Chesterfield, MO 63017-3625
Phone (314) 205-6736
NPI Registry JSON
{
"created_epoch": "1423180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1679964191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1093 ARBOR GROVE CT",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630054984",
"telephone_number": "314-603-3830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11500 OLIVE BLVD STE 235",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417141",
"telephone_number": "314-925-0903"
}
],
"practiceLocations": [
{
"address_1": "222 S Woods Mill Rd",
"address_2": "Suite 580 South",
"address_purpose": "LOCATION",
"city": "Chesterfield",
"state": "MO",
"postal_code": "630173625",
"country_code": "US",
"telephone_number": "314-205-6736",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEER",
"first_name": "ABBY",
"middle_name": "CRONIN",
"name_prefix": "Mrs.",
"credential": "AGNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-06",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "2015001251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.