Individual provider Active NPI

Nancy S Giaimo, FNP

  • Family Nurse Practitioner
  • Lake St Louis, MO
National Provider Identifier
1699719971
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
124244 Issued in MO
Practice address
6261 Ronald Reagan Dr Ste B18
Lake St Louis, MO 63367-2665
Phone
(636) 561-3021
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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 124244 MO Primary

Addresses

Primary practice location

6261 Ronald Reagan Dr Ste B18
Lake St Louis, MO 63367-2665

Mailing address

6261 Ronald Reagan Dr Ste B18
Lake St Louis, MO 63367-2665
Phone (636) 561-3021

Other practice location 1

6261 Ronald Reagan Dr Ste B19
Lake St Louis, MO 63367-2665
Phone (636) 561-3021

Other names 1

  • Ms. Nancy Weintraut Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

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
I20050111000639 MO Practitioner - Nurse Practitioner 4688622137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Groups LCGroup PAC ID 3072421254, 526 clinicians
Aging Well Health Care, LLCGroup PAC ID 1153232038, 236 clinicians

Practice addresses (Care Compare)

1110 Highlands Plaza Dr E
Saint Louis, MO 63110-1351
Phone (314) 273-0195

2630 Hwy K
O Fallon, MO 63368-6624
Phone (636) 240-5454

6261 Ronald Reagan Dr
Suite B19
Lake Saint Louis, MO 63367-2665
Phone (636) 561-3021

7212 Balson Ave
Saint Louis, MO 63130-3001

Hospital & facility affiliations

  • SSM St Joseph Hospital West Hospital, Lake Saint Louis, MO, CCN 260200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince Aug 15, 2021 Accepting new patients
Physician Groups LC CurrentSince Jan 1, 2011 Accepting new patients
Physician Groups, LC CurrentSince Jan 1, 2011 Accepting new patients
Physician Groups LC Past Accepting new patients
Cardiology Diagnostics, LTD. Past Accepting new patients
Our Urgent Care, LLC PastSince Dec 9, 2019 Accepting new patients
Cardiology Diagnostics, LTD. Past Accepting new patients

Locations

6261 Ronald Reagan Dr
Ste B19
Lake St Louis, MO 63367
Phone (636) 561-3021

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250

10 Hospital Dr
Ste 100
Saint Peters, MO 63376
Phone (636) 916-7272

1021 Wentzville Pkwy
Wentzville, MO 63385
Phone (636) 787-7685

1111 W Pearce Blvd
Wentzville, MO 63385
Phone (636) 856-5362

Organizations & group practices 9

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1699719971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6261 RONALD REAGAN DR STE B18",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672665",
            "telephone_number": "636-561-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6261 RONALD REAGAN DR STE B18",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672665",
            "telephone_number": "636-561-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6261 Ronald Reagan Dr Ste B19",
            "address_purpose": "LOCATION",
            "city": "Lake St Louis",
            "state": "MO",
            "postal_code": "633672665",
            "country_code": "US",
            "telephone_number": "636-561-3021",
            "fax_number": "636-561-3022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIAIMO",
        "first_name": "NANCY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "124244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6261 Ronald Reagan Dr Ste B18",
            "city": "Lake St Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633672665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "WEINTRAUT",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake St Louis, MO

Sources for this page

Verify at the official NPI Registry.