Nancy Birtley, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2015034704 Issued in MO

Practice address

6209 Mid Rivers Mall Dr
Suite 317
Saint Peters, MO 63304-1102

Phone

(636) 244-4500

Fax

(636) 244-4505

NPI assigned

Jul 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nancy M. Birtley, LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Saint Peters, MO
  • NPI 1003933631
  Medicare reassignment
• A M Datuin Psychiatry & Neurology, SC

  • Psychiatry Physician
  • Saint Peters, MO
  • NPI 1306963939
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1689673956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 MID RIVERS MALL DR",
            "address_2": "SUITE 317",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633041102",
            "telephone_number": "636-244-4500",
            "fax_number": "636-244-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 MID RIVERS MALL DR",
            "address_2": "SUITE 317",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633041102",
            "telephone_number": "636-244-4500",
            "fax_number": "636-244-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRTLEY",
        "first_name": "NANCY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MO",
            "license": "107603",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2015034704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "424724110",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00171562",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jan Hagen Bick, M.S. CCC-SLP
• Stacey Biles, PTA
• Danielle Bindrim
• Bio-Medical Applications of Missouri, Inc. (St. Charles County Dialysis)
• Kristina L Biondo, PTA
• Marigrace Bishop, LBA, BCBA
• Tim Duane Bizelli
• Bjsph Physician Billing Services, LLC (Benrus Surgical at Barnes-Jewish St. Peters)
• Christin Black
• Andrew T Blackburne, MD

• Psychiatric/Mental Health Nurse Practitioner in Saint Peters, MO
• Providers in Saint Peters, MO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.

Verify at the official NPI Registry.