Active NPI
Mary Frances Digregorio, MSW, APRN, BC, NP-C,
- Adult Health Nurse Practitioner
- Bridgeton, MO
National Provider Identifier
1700990116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 072754
- Practice address
- 12255 De Paul Dr
Suite 700
Bridgeton, MO 63044-2510 - Phone
- (314) 739-4166
- Fax
- (314) 739-2485
- NPI assigned
- Aug 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 072754 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 072754 | MO | Primary |
Addresses
Primary practice location
12255 De Paul Dr
Suite 700
Bridgeton, MO 63044-2510
Mailing address
PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 739-4166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 427736608 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of St Louis Division of Fiscal Management | Past | Accepting new patients |
Interoperability endpoints
- mary.digregorio.p1@direct.essehealth.nextgenshare.com
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 and National Provider Directory roles.
-
dba John C. Murphy Health Center
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1700990116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23340",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631563340",
"telephone_number": "314-739-4166",
"fax_number": "314-739-2485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12255 DE PAUL DR",
"address_2": "SUITE 700",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442510",
"telephone_number": "314-739-4166",
"fax_number": "314-739-2485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGREGORIO",
"first_name": "MARY",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "MSW, APRN, BC, NP-C,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "072754",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "072754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "427736608",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.