Active NPI
Nextra Health, Inc.
Doing business as TenderHeart Health Outcomes, Inc.
- Durable Medical Equipment & Medical Supplies
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- B0028507A
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 168919202 | Medicaid | TX | |
| 8200257 | Other | TX | UNITED HEALTHCARE - EVERC |
| 1023350 | Other | ANCILLARY CARE MANAGEMENT | |
| 103698 | Other | MO | HEALTHLINK, INC |
| 105356 | Other | MO | BCBS OF MO |
Other names 1
- TenderHeart Health Outcomes, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930088671 | MO | DME Supplier - Medical Supply Company | 3577680743 | Practice locations: Saint Louis, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Nextra Health | 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 assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Albany, NY
- NPI 1033994900
Member Of
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
- Next Step Foot and Ankle Centers, Inc
- Next Step Foot and Ankle Centers, Inc.
- Next Step Foot and Ankle Centers, Inc. (Missouri Foot and Ankle)
- Next Step Foot and Ankle Centers, Inc. (Missouri Foot and Ankle)
- Next Step Foot and Ankle Centers, Inc.
- Nexus Home Health Care LLC
- Nexx Step Health & Diagnostics Center
- Halle Catherine Hudson Neyens, OD
- Christina Mei Gee NG, PHARMD
- Lixian Marie NG
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.