Active NPI
Christy Palmer, APN
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2018024314
- Practice address
- 4173 Crescent Dr Ste a
Saint Louis, MO 63129-1082 - Phone
- (314) 858-5604
- NPI assigned
- Aug 28, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2018024314 | MO | Primary |
Addresses
Primary practice location
4173 Crescent Dr Ste a
Saint Louis, MO 63129-1082
Mailing address
323 Edna Dr
O Fallon, IL 62269-2210
Phone (618) 975-1186
Other names 1
- Christy Suhl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20210108002427 | IL | Practitioner - Nurse Practitioner | 6608288469 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1181 S State Route 157
Edwardsville, IL 62025
Phone (888) 363-8333
Hospital & facility affiliations
- HSHS St Elizabeth'S Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belleville Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Apg Network LLC | Current | Accepting new patients | |
| Interventional Pain Institute, LLC | Current | Accepting new patients | |
| Interventional Pain Institute, LLC | Current | Accepting new patients | |
| Wood River Urgent Care and Walk in Clinic Inc | Current | Accepting new patients | |
| Granite City Urgent Care Walk-in Clinic | Current | Accepting new patients | |
| Waterloo Urgent Care Walk in Clinic Company | Current | Accepting new patients | |
| Alton Urgent Care Walk in Clinic Company | Current | Accepting new patients |
Locations
1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320
4414 W Center Dr
Alton, IL 62002
Phone (618) 509-8454
2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053
1181 S State Route 157
Edwardsville, IL 62025
Phone (618) 288-4100
1181 S State Route 157
Ste 201B
Edwardsville, IL 62025
Phone (618) 307-9015
2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723
916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211
916 Talon Dr
O Fallon, IL 62269
Phone (618) 628-8211
907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200
211 Madison Ave
Wood River, IL 62095
Phone (618) 709-7723
14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100
845 N New Ballas Ct
Ste 120
Saint Louis, MO 63141
Phone (314) 200-0997
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.
-
- Urgent Care Clinic/Center
- Granite City, IL
- NPI 1659861953
IL
-
- Family Medicine Physician
- Waterloo, IL
- NPI 1508471418
IL
-
- Family Medicine Physician
- Wood River, IL
- NPI 1427717438
IL
-
- Interventional Pain Medicine Physician
- Troy, MO
- NPI 1013779271
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- O Fallon, IL
- NPI 1629057302
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568160000000",
"number": "1699256644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 EDNA DR",
"city": "O FALLON",
"state": "IL",
"postal_code": "622692210",
"telephone_number": "618-975-1186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4173 CRESCENT DR STE A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631291082",
"telephone_number": "314-858-5604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "CHRISTY",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2019-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2018024314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "SUHL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2019; 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.