Individual provider Active NPI

Wendi M Carns, M.D.

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1699732313
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2004001934 Issued in MO
Practice address
4280 Mid America LN
Saint Louis, MO 63129
Phone
(636) 717-1390
Fax
(636) 717-1395
NPI assigned
Apr 27, 2006
Last updated
May 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2004001934 MO Primary

Addresses

Primary practice location

4280 Mid America LN
Saint Louis, MO 63129

Mailing address

4280 Mid America LN
Saint Louis, MO 63129-1202
Phone (636) 717-1390

Other practice location 1

150 S Mount Auburn Rd
Suite 318
Cape Girardeau, MO 63703-4910
Phone (573) 339-1166

Other practice location 2

1203 Smizer Mill Rd Ste 106
Fenton, MO 63026-3483
Phone (636) 717-1390

Other identifiers 1

IdentifierTypeStateIssuer
208369801MedicaidMO

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040715001073 MO Practitioner - Obstetrics/Gynecology 2062491897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic East Communities Obstetrics & Gynecology CurrentSince Aug 21, 2017 Accepting new patients

Locations

1203 Smizer Mill Rd
Ste 106
Fenton, MO 63026
Phone (636) 717-1390

4280 Mid America Ln
Ste 20
Saint Louis, MO 63129
Phone (636) 717-1390

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558051200000",
    "number": "1699732313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 MID AMERICA LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631291202",
            "telephone_number": "636-717-1390",
            "fax_number": "636-717-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 MID AMERICA LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63129",
            "telephone_number": "636-717-1390",
            "fax_number": "636-717-1395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Mount Auburn Rd",
            "address_2": "SUITE 318",
            "address_purpose": "LOCATION",
            "city": "Cape Girardeau",
            "state": "MO",
            "postal_code": "637034910",
            "country_code": "US",
            "telephone_number": "573-339-1166",
            "fax_number": "573-339-7166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Smizer Mill Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630263483",
            "country_code": "US",
            "telephone_number": "636-717-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARNS",
        "first_name": "WENDI",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2019-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2004001934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208369801",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.