Active NPI
Amanda Garth, NP-C
- Family Nurse Practitioner
- Lake St Louis, MO
On this page
- Key facts
- Organizations & group practices9
- Hospital & facility affiliations5
- Care Compare profile
- Medicare participation
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other names1
- Electronic endpoints2
- NPI Registry JSON
- Other providers in Lake St Louis, MO
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017023148
- Practice address
- 400 Medical PLZ Ste 200
Lake St Louis, MO 63367-1417 - Phone
- (636) 625-2662
- NPI assigned
- Aug 2, 2017
- Sex
- Female
- Sole proprietor
- No
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.
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Durable Medical Equipment & Medical Supplies
- Wentzville, MO
- NPI 1043518350
-
- Durable Medical Equipment & Medical Supplies
- Bridgeton, MO
- NPI 1053616110
-
- Durable Medical Equipment & Medical Supplies
- Saint Charles, MO
- NPI 1437573920
-
- Durable Medical Equipment & Medical Supplies
- Saint Charles, MO
- NPI 1447633557
-
- Durable Medical Equipment & Medical Supplies
- Bridgeton, MO
- NPI 1477564581
-
- Durable Medical Equipment & Medical Supplies
- Troy, MO
- NPI 1528503133
-
- Durable Medical Equipment & Medical Supplies
- Florissant, MO
- NPI 1194736116
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Saint Louis, MO
- NPI 1609840552
-
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Saint Charles, MO
- NPI 1467521146
Care Compare affiliation Hospital -
- General Acute Care Hospital
- Lake St Louis, MO
- NPI 1871665380
Care Compare affiliation Hospital -
- Rehabilitation Hospital
- Richmond Heights, MO
- NPI 1659511988
Care Compare affiliation Inpatient rehabilitation facility
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- SSM Medical Group Inc
Practice addresses (Care Compare)
400 Medical PLZ
Suite 200
Lake St Louis, MO 63367-1417
Phone (636) 625-2662
Hospital & facility affiliations
- SSM Health at Home Home Health-St. Louis
- SSM St Joseph Hospital West
- SSM St Joseph Health Center
- Barnes-Jewish St Peters Hospital
- SSM Health Rehabilitation Hospital
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170824002073 | MO | Practitioner - Nurse Practitioner | 1254603350 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group, Inc. | Current | Accepting new patients | |
| SSM Health Care St. Louis | Past | Accepting new patients |
Locations
400 Medical Plz
Ste 200
Lake St Louis, MO 63367
Phone (636) 625-2662
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
Interoperability endpoints
- aprater75442@direct-ehr-ssmhc.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2017023148 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
400 Medical PLZ Ste 200
Lake St Louis, MO 63367-1417
Mailing address
PO Box 955534
Saint Louis, MO 63195-5534
Other names 1
NPPES NPI Registry- Amanda Prater
Electronic endpoints 2
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aprater75442@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.
{
"created_epoch": "1501632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1710401641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955534",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631955534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MEDICAL PLZ STE 200",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633671417",
"telephone_number": "636-625-2662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARTH",
"first_name": "AMANDA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-02",
"last_updated": "2022-07-21",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017023148",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aprater75442@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "aprater75442@direct-ehr-ssmhc.com",
"address_1": "400 Medical Plz Ste 200",
"city": "Lake St Louis",
"state": "MO",
"country_code": "US",
"postal_code": "633671417",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "400 Medical Plz Ste 200",
"city": "Lake St Louis",
"state": "MO",
"country_code": "US",
"postal_code": "633671417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "PRATER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lake St Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.