Active NPI
Marina Fischer
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2014006849
- Practice address
- 1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602 - Phone
- (314) 203-2627
- Fax
- (314) 261-9469
- NPI assigned
- Apr 15, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2014006849 | MO | Primary |
Addresses
Primary practice location
1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602
Mailing address
1120 S 6TH St Ste 110
Saint Louis, MO 63104-3602
Phone (618) 977-1305
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@intentionallivingphc.com | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014006849 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Mercy Clinic East Communities | Family | Current | Accepting new patients |
| SSM Depaul Medical Group, Inc. | Past | Accepting new patients |
Locations
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
14021 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 839-0910
2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520
2024 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 590-0550
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
10700 Manchester Rd
Ste D
Saint Louis, MO 63122
Phone (314) 822-6830
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
1601 Wentzville Pkwy
Ste 130
Wentzville, MO 63385
Phone (636) 332-8455
Interoperability endpoints
- info@intentionallivingphc.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Multi-Specialty Clinic/Center
- Fenton, MO
- NPI 1700966207
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1043574940
-
- Emergency Medicine Physician
- Saint Charles, MO
- NPI 1427002922
-
- Family Medicine Physician
- Florissant, MO
- NPI 1952312951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1750700928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 S 6TH ST STE 110",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631043602",
"telephone_number": "618-977-1305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 S 6TH ST STE 110",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631043602",
"telephone_number": "314-203-2627",
"fax_number": "314-261-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "MARINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2014006849",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@intentionallivingphc.com",
"affiliation": "N",
"endpointDescription": "Clinic email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1120 S 6th St Ste 110",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631043602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Mar 16, 2026; 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.