Stephanie L Simms, AGNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2017024426 Issued in MO

Practice address

12700 Southfork Rd Ste 235
Saint Louis, MO 63128-3201

Phone

(314) 543-5244

Fax

(314) 543-5248

NPI assigned

Dec 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie L Lawler Other name

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Mercy Aco Clinical Services Inc

  • Neurology Physician
  • Chesterfield, MO
  • NPI 1063965093
  Medicare reassignment NPD
• Mercy Clinic Illinois, LLC

  • Internal Medicine Physician
  • Columbia, IL
  • NPI 1164089124
  Medicare reassignment NPD
• Mercy Clinic Specialists Services-Illinois LLC

  • Hematology & Oncology Physician
  • Maryville, IL
  • NPI 1578017596
  NPD

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1710492202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 235",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-543-5244",
            "fax_number": "314-543-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 235",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-543-5244",
            "fax_number": "314-543-5248"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 Woodlake Dr Ste 214",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630175740",
            "country_code": "US",
            "telephone_number": "314-336-2067",
            "fax_number": "314-721-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017024426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LAWLER",
            "middle_name": "L",
            "credential": "AGNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Margaret Ann Simmons, LCSW
• Marla Simmons, REGISTERED NURSE
• NA'Tyra Simmons
• Victoria Elizabeth Simmons, MD
• Alan D Simms, CRNA BS
• Stephanie M Simms, APRN
• Frank Simo, M.D.
• Francis J Simokaitis, DDS
• Mary Kathleen Simokaitis, LCSW
• Ann C. Simon, MSW, LCSW

• Family Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.