Individual provider Active NPI

Christy Palmer, APN

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1699256644
Registry record updated Sep 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018024314 Issued in MO
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

Updated by the provider on Sep 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Apg Network, LLCGroup PAC ID 6103264510, 18 clinicians

Practice addresses (Care Compare)

1181 S State Route 157
Edwardsville, IL 62025
Phone (888) 363-8333

Hospital & facility affiliations

  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Belleville Urgent Care Walk-in Clinic CurrentSince Mar 1, 2022 Accepting new patients
Apg Network LLC CurrentSince Feb 24, 2024 Accepting new patients
Interventional Pain Institute, LLC CurrentSince Dec 1, 2023 Accepting new patients
Interventional Pain Institute, LLC CurrentSince Dec 1, 2023 Accepting new patients
Wood River Urgent Care and Walk in Clinic Inc CurrentSince Mar 1, 2022 Accepting new patients
Granite City Urgent Care Walk-in Clinic CurrentSince Mar 1, 2022 Accepting new patients
Waterloo Urgent Care Walk in Clinic Company CurrentSince Mar 1, 2022 Accepting new patients
Alton Urgent Care Walk in Clinic Company CurrentSince Mar 1, 2022 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.