Organization Active NPI

Nextra Health, Inc.

Doing business as TenderHeart Health Outcomes, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Saint Louis, MO
National Provider Identifier
1730109588
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
B0028507A Issued in MO
Legal business name
NEXTRA HEALTH, INC.
Doing business as
TenderHeart Health Outcomes, Inc.
Practice address
12813 Flushing Meadows Dr Ste 100
Saint Louis, MO 63131-0015
Phone
(800) 950-6020
Fax
(314) 821-5102
NPI assigned
Jul 21, 2006
Last updated
May 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
LC Wadle
Title
Coo
Phone
(877) 394-1860

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Durable Medical Equipment & Medical Supplies 332B00000X B0028507A MO Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X NU

Addresses

Primary practice location

12813 Flushing Meadows Dr Ste 100
Saint Louis, MO 63131-0015

Mailing address

12813 Flushing Meadows Dr Ste 100
Saint Louis, MO 63131-0015
Phone (800) 950-6020

Other identifiers 5

IdentifierTypeStateIssuer
168919202MedicaidTX
8200257OtherTXUNITED HEALTHCARE - EVERC
1023350OtherANCILLARY CARE MANAGEMENT
103698OtherMOHEALTHLINK, INC
105356OtherMOBCBS OF MO

Other names 1

  • TenderHeart Health Outcomes, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930088671 MO DME Supplier - Medical Supply Company 3577680743 Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Nextra Health12813 Flushing Meadows Dr, Saint Louis, MO 63131-0015(800) 950-6020 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Enteral Nutrients|Ent… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1664 Larkin Williams Rd
Fenton, MO 63026
Phone (314) 821-7355

10 Sunnen Dr
Ste 100
Maplewood, MO 63143

12813 Flushing Meadows Dr
Ste 100
Saint Louis, MO 63131
Phone (800) 950-6020

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1730109588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12813 FLUSHING MEADOWS DR STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631310015",
            "telephone_number": "800-950-6020",
            "fax_number": "314-821-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 FLUSHING MEADOWS DR STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631310015",
            "telephone_number": "800-950-6020",
            "fax_number": "314-821-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTRA HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "WADLE",
        "authorized_official_first_name": "LC",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "877-394-1860"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MO",
            "license": "B0028507A",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168919202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE - EVERC",
            "identifier": "8200257",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCILLARY CARE MANAGEMENT",
            "identifier": "1023350",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK, INC",
            "identifier": "103698",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MO",
            "identifier": "105356",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TenderHeart Health Outcomes, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.