Individual provider Active NPI

Abby Cronin Peer, AGNP

  • Gerontology Nurse Practitioner
  • Creve Coeur, MO
National Provider Identifier
1679964191
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
2015001251 Issued in MO
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.

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 LLC 174 clinicians
Generation Clinical Partners LLC 24 clinicians

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
2015001251MOMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Generation Clinical Partners Aco, LLC CurrentSince Sep 1, 2025 Accepting new patients
Generation Clinical Partners LLC CurrentSince Oct 1, 2016 Accepting new patients
Physician Specialists of St Lukes LLC CurrentSince Apr 27, 2015 Accepting new patients
Pai Participant 1 LLC CurrentSince Nov 1, 2022 Accepting new patients
Generation Clinical Partners LLC CurrentSince Oct 1, 2016 Accepting new patients
Generation Clinical Partners Aco, LLC CurrentSince Sep 1, 2025 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Nov 1, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/9850/brand/1/csg/1/fhir/r4
  • Direct secure messaging: abby.cronin.1@9850.direct.athenahealth.com

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

{
    "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

Verify at the official NPI Registry.